Kieselbach K, Schiltenwolf M, Bozzaro C
Interdisziplinäres Schmerzzentrum ISZ, Universitätsklinikum Freiburg, Breisacher Str. 64, 79106, Freiburg, Deutschland.
Konservative Orthopädie und Schmerztherapie, Klinik für Orthopädie und Unfallchirurgie, Zentrum für Orthopädie, Unfallchirurgie und Paraplegiologie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland.
Schmerz. 2016 Aug;30(4):351-7. doi: 10.1007/s00482-016-0137-2.
From the point of view of healthcare policies, improvement in pain care has been required for years; however, there is a great discrepancy between the current need for pain care and the actual provision by healthcare services. This article seeks to demonstrate that while healthcare policies are one of the critical factors involved, a variety of conceptual, diagnostic and therapeutic causes should also be taken into account. Firstly, considering that pain care is primarily concerned with the suffering of pain by patients, the focus lies with their conscious experience in order to define the patients' understanding of pain. Additionally, in this article current biomedical and psychosocial comprehension concerning chronic pain will be illustrated and why it is necessary to broaden our horizons in order to do justice to patients with chronic pain.
从医疗保健政策的角度来看，多年来一直需要改善疼痛护理；然而，目前对疼痛护理的需求与医疗服务的实际提供之间存在很大差距。本文旨在表明，虽然医疗保健政策是其中一个关键因素，但也应考虑各种概念、诊断和治疗方面的原因。首先，考虑到疼痛护理主要关注患者的疼痛痛苦，重点在于他们的意识体验，以便界定患者对疼痛的理解。此外，本文将阐述当前关于慢性疼痛的生物医学和心理社会理解，以及为何有必要拓宽视野以便公正地对待慢性疼痛患者。
