AMA J Ethics. 2020 Aug 1;22(1):E709-717. doi: 10.1001/amajethics.2020.709.
Pain is a universal human experience and the most common reason patients seek health care. This article describes barriers to effective, high-quality, evidence-informed pain care. Based on the clinical literature and pain specialists' survey results, the AMA Pain Care Task Force suggests strategies that clinicians can use to offer good pain care to patients. The task force also canvasses key policy-level concerns that situate clinicians in micro- and macro-level complexities related to payers, workforce and training demands, legal and regulatory questions, research, stigma, and patients' beliefs and expectations.
疼痛是一种普遍的人类体验，也是患者寻求医疗保健的最常见原因。本文描述了有效、高质量、基于证据的疼痛治疗所面临的障碍。根据临床文献和疼痛专家的调查结果，美国医学协会疼痛护理工作组提出了临床医生可以用来为患者提供良好疼痛护理的策略。该工作组还调查了关键的政策层面问题，这些问题使临床医生处于与支付者、劳动力和培训需求、法律和监管问题、研究、耻辱感以及患者的信念和期望相关的微观和宏观层面的复杂性之中。
