Division of Rheumatology and Immunology, Duke University School of Medicine, Durham, NC, USA.
Department of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA.
J Prim Care Community Health. 2021 Jan-Dec;12:21501327211008055. doi: 10.1177/21501327211008055.
The diagnosis, treatment, and management of chronic pain is complex, nuanced, and challenging in primary care settings. These challenges often give rise to internal provider conflicts around appropriate management strategies, perhaps avoiding diagnosis all together. Factors that contribute to internal provider conflict include knowledge, responsibility, and uncertainties surrounding chronic pain management. This piece acknowledges the complexity and competing priorities of chronic pain management from a provider perspective. We advocate for coordinated and committed care of patients with chronic pain and a sense of shared responsibility among providers to adequately address patient needs.
在基层医疗环境中,慢性疼痛的诊断、治疗和管理是复杂、微妙且具有挑战性的。这些挑战常常导致内部医疗提供者在适当的管理策略上产生冲突,甚至干脆避免做出诊断。导致内部医疗提供者冲突的因素包括对慢性疼痛管理的知识、责任和不确定性。这篇文章从提供者的角度承认了慢性疼痛管理的复杂性和相互竞争的优先事项。我们提倡为慢性疼痛患者提供协调和坚定的护理,并在提供者之间建立共同责任意识,以充分满足患者的需求。