May C, Brcic V, Lau B
Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Family Medicine, University of British Columbia, Vancouver, BC, Canada.
Can J Pain. 2018 Apr 19;2(1):125-134. doi: 10.1080/24740527.2018.1453751. eCollection 2018.
Community-based care fills an important service gap for patients living with chronic pain. Better understanding of unmet patient needs in the community may inform improved policy and resource allocation.
The aim of this study was to describe patients presenting to a community-based, multidisciplinary chronic pain clinic in Vancouver, British Columbia.
This is a retrospective cross-sectional study of 935 unique consecutive patients who completed an intake questionnaire between January 2016 and March 2017. All data were patient reported.
Nine hundred thirty-five patient records were analyzed for descriptive characteristics. The mean age of the population was 49.5 (SD = 14.9) years; 70% were female. Approximately 50% of patients lived below the poverty line in Vancouver; 30% were not working due to disability, 51% had pain for more than 5 years, and 63% reported severe functional impairment.
Substantial unmet need is demonstrated in this patient population accessing a community-based chronic pain clinic. The population described is mainly of working age with significant functional impairment, reflecting a high level of need due to severity and duration of symptoms, poverty, and other characteristics described.
基于社区的护理填补了慢性疼痛患者的一项重要服务空白。更好地了解社区中未满足的患者需求可能会为改进政策和资源分配提供参考。
本研究的目的是描述在不列颠哥伦比亚省温哥华一家基于社区的多学科慢性疼痛诊所就诊的患者情况。
这是一项回顾性横断面研究，研究对象为2016年1月至2017年3月期间连续完成一份入院调查问卷的935名不同患者。所有数据均由患者报告。
对935份患者记录进行了描述性特征分析。研究人群的平均年龄为49.5岁（标准差=14.9）；70%为女性。在温哥华，约50%的患者生活在贫困线以下；30%因残疾无法工作，51%的患者疼痛超过5年，63%的患者报告有严重的功能障碍。
在这个就诊于社区慢性疼痛诊所的患者群体中，存在大量未满足的需求。所描述的人群主要处于工作年龄，功能障碍严重，这反映出由于症状的严重程度和持续时间、贫困以及所描述的其他特征，他们有很高的需求。
