When There Is No Benchmark: Designing a Primary Care-Based Chronic Pain Management Program from the Scientific Basis Up

Managed care has been accused of ignoring the patient with pain. The challenge for a health maintenance organization (HMO) was not just how to deliver state-of-the-art care, but how to deliver it to the 40,000 members who experience chronic pain at a reasonable cost and with enduring outcomes. This...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Journal of pain and symptom management 1999-07, Vol.18 (1), p.38-48
Hauptverfasser: Donovan, Marilee I, Evers, Kitty, Jacobs, Paul, Mandleblatt, Steve
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 48
container_issue 1
container_start_page 38
container_title Journal of pain and symptom management
container_volume 18
creator Donovan, Marilee I
Evers, Kitty
Jacobs, Paul
Mandleblatt, Steve
description Managed care has been accused of ignoring the patient with pain. The challenge for a health maintenance organization (HMO) was not just how to deliver state-of-the-art care, but how to deliver it to the 40,000 members who experience chronic pain at a reasonable cost and with enduring outcomes. This article describes how one managed care organization set about improving the care of patients with chronic pain. The article includes the design process, the model implemented, and some suggestions for transfer of this technology to others who might want to explore developing a similar model.
doi_str_mv 10.1016/S0885-3924(99)00021-4
format Article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_764107873</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0885392499000214</els_id><sourcerecordid>69950232</sourcerecordid><originalsourceid>FETCH-LOGICAL-e349t-9e4c66570007f0c5477d535a309e2fd2bfd76dd93977b495e6f5d1cff347fc2b3</originalsourceid><addsrcrecordid>eNp90ctuEzEUBmCrAtFQeIQiL1CBxYA9vsXdIBourVSgUluxtBz7OOM24wn2BMTb4zSB7rqydPT5yP5_hA4peUsJle8uyXQqGqZb_lrrN4SQljZ8D03oVLFGCsoeocl_so-elnJTkWCSPUH7lHCmhaIT9PtHBwlfdZABnxX8bcAnkFzX23x7jD9CiYsU0wJbfJFjHf7BM5uhObEFPJ51eUjR4QsbE_5qk11AD2msdFhk2-OQhx6PHeBLF-s8hmrrzVjw9eoZehzsssDz3XmArj9_upqdNuffv5zNPpw3wLgeGw3cSSlUfboKxAmulBdMWEY0tMG38-CV9F4zrdScawEyCE9dCIyr4No5O0CvtntXefi5hjKaPhYHy6VNMKyLUZJTompmVR49KKXWgrSsrfDFDq7nPXiz2iZj_oVawcsdsMXZZcg2uVjunSZSS1LZ-y2D-v9fEbIpm5wc-JjBjcYPse40m7bNXdtmU6XR2ty1bTj7C-IRmcc</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>69950232</pqid></control><display><type>article</type><title>When There Is No Benchmark: Designing a Primary Care-Based Chronic Pain Management Program from the Scientific Basis Up</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>Donovan, Marilee I ; Evers, Kitty ; Jacobs, Paul ; Mandleblatt, Steve</creator><creatorcontrib>Donovan, Marilee I ; Evers, Kitty ; Jacobs, Paul ; Mandleblatt, Steve</creatorcontrib><description>Managed care has been accused of ignoring the patient with pain. The challenge for a health maintenance organization (HMO) was not just how to deliver state-of-the-art care, but how to deliver it to the 40,000 members who experience chronic pain at a reasonable cost and with enduring outcomes. This article describes how one managed care organization set about improving the care of patients with chronic pain. The article includes the design process, the model implemented, and some suggestions for transfer of this technology to others who might want to explore developing a similar model.</description><identifier>ISSN: 0885-3924</identifier><identifier>EISSN: 1873-6513</identifier><identifier>DOI: 10.1016/S0885-3924(99)00021-4</identifier><identifier>PMID: 10439571</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Benchmarking ; Biological and medical sciences ; Chronic Disease ; Chronic pain ; group visits ; Humans ; managed care ; Medical sciences ; Pain Management ; Prevention and actions ; Primary Health Care - standards ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Quality Assurance, Health Care ; quality improvement ; Specific populations (family, woman, child, elderly...) ; United States</subject><ispartof>Journal of pain and symptom management, 1999-07, Vol.18 (1), p.38-48</ispartof><rights>1999 U.S. Cancer Pain Relief Committee</rights><rights>1999 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0885-3924(99)00021-4$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=1906960$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10439571$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Donovan, Marilee I</creatorcontrib><creatorcontrib>Evers, Kitty</creatorcontrib><creatorcontrib>Jacobs, Paul</creatorcontrib><creatorcontrib>Mandleblatt, Steve</creatorcontrib><title>When There Is No Benchmark: Designing a Primary Care-Based Chronic Pain Management Program from the Scientific Basis Up</title><title>Journal of pain and symptom management</title><addtitle>J Pain Symptom Manage</addtitle><description>Managed care has been accused of ignoring the patient with pain. The challenge for a health maintenance organization (HMO) was not just how to deliver state-of-the-art care, but how to deliver it to the 40,000 members who experience chronic pain at a reasonable cost and with enduring outcomes. This article describes how one managed care organization set about improving the care of patients with chronic pain. The article includes the design process, the model implemented, and some suggestions for transfer of this technology to others who might want to explore developing a similar model.</description><subject>Benchmarking</subject><subject>Biological and medical sciences</subject><subject>Chronic Disease</subject><subject>Chronic pain</subject><subject>group visits</subject><subject>Humans</subject><subject>managed care</subject><subject>Medical sciences</subject><subject>Pain Management</subject><subject>Prevention and actions</subject><subject>Primary Health Care - standards</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Quality Assurance, Health Care</subject><subject>quality improvement</subject><subject>Specific populations (family, woman, child, elderly...)</subject><subject>United States</subject><issn>0885-3924</issn><issn>1873-6513</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90ctuEzEUBmCrAtFQeIQiL1CBxYA9vsXdIBourVSgUluxtBz7OOM24wn2BMTb4zSB7rqydPT5yP5_hA4peUsJle8uyXQqGqZb_lrrN4SQljZ8D03oVLFGCsoeocl_so-elnJTkWCSPUH7lHCmhaIT9PtHBwlfdZABnxX8bcAnkFzX23x7jD9CiYsU0wJbfJFjHf7BM5uhObEFPJ51eUjR4QsbE_5qk11AD2msdFhk2-OQhx6PHeBLF-s8hmrrzVjw9eoZehzsssDz3XmArj9_upqdNuffv5zNPpw3wLgeGw3cSSlUfboKxAmulBdMWEY0tMG38-CV9F4zrdScawEyCE9dCIyr4No5O0CvtntXefi5hjKaPhYHy6VNMKyLUZJTompmVR49KKXWgrSsrfDFDq7nPXiz2iZj_oVawcsdsMXZZcg2uVjunSZSS1LZ-y2D-v9fEbIpm5wc-JjBjcYPse40m7bNXdtmU6XR2ty1bTj7C-IRmcc</recordid><startdate>19990701</startdate><enddate>19990701</enddate><creator>Donovan, Marilee I</creator><creator>Evers, Kitty</creator><creator>Jacobs, Paul</creator><creator>Mandleblatt, Steve</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>19990701</creationdate><title>When There Is No Benchmark: Designing a Primary Care-Based Chronic Pain Management Program from the Scientific Basis Up</title><author>Donovan, Marilee I ; Evers, Kitty ; Jacobs, Paul ; Mandleblatt, Steve</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-e349t-9e4c66570007f0c5477d535a309e2fd2bfd76dd93977b495e6f5d1cff347fc2b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Benchmarking</topic><topic>Biological and medical sciences</topic><topic>Chronic Disease</topic><topic>Chronic pain</topic><topic>group visits</topic><topic>Humans</topic><topic>managed care</topic><topic>Medical sciences</topic><topic>Pain Management</topic><topic>Prevention and actions</topic><topic>Primary Health Care - standards</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Quality Assurance, Health Care</topic><topic>quality improvement</topic><topic>Specific populations (family, woman, child, elderly...)</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Donovan, Marilee I</creatorcontrib><creatorcontrib>Evers, Kitty</creatorcontrib><creatorcontrib>Jacobs, Paul</creatorcontrib><creatorcontrib>Mandleblatt, Steve</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>Journal of pain and symptom management</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Donovan, Marilee I</au><au>Evers, Kitty</au><au>Jacobs, Paul</au><au>Mandleblatt, Steve</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>When There Is No Benchmark: Designing a Primary Care-Based Chronic Pain Management Program from the Scientific Basis Up</atitle><jtitle>Journal of pain and symptom management</jtitle><addtitle>J Pain Symptom Manage</addtitle><date>1999-07-01</date><risdate>1999</risdate><volume>18</volume><issue>1</issue><spage>38</spage><epage>48</epage><pages>38-48</pages><issn>0885-3924</issn><eissn>1873-6513</eissn><abstract>Managed care has been accused of ignoring the patient with pain. The challenge for a health maintenance organization (HMO) was not just how to deliver state-of-the-art care, but how to deliver it to the 40,000 members who experience chronic pain at a reasonable cost and with enduring outcomes. This article describes how one managed care organization set about improving the care of patients with chronic pain. The article includes the design process, the model implemented, and some suggestions for transfer of this technology to others who might want to explore developing a similar model.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>10439571</pmid><doi>10.1016/S0885-3924(99)00021-4</doi><tpages>11</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0885-3924
ispartof Journal of pain and symptom management, 1999-07, Vol.18 (1), p.38-48
issn 0885-3924
1873-6513
language eng
recordid cdi_proquest_miscellaneous_764107873
source MEDLINE; Elsevier ScienceDirect Journals Complete; EZB-FREE-00999 freely available EZB journals
subjects Benchmarking
Biological and medical sciences
Chronic Disease
Chronic pain
group visits
Humans
managed care
Medical sciences
Pain Management
Prevention and actions
Primary Health Care - standards
Public health. Hygiene
Public health. Hygiene-occupational medicine
Quality Assurance, Health Care
quality improvement
Specific populations (family, woman, child, elderly...)
United States
title When There Is No Benchmark: Designing a Primary Care-Based Chronic Pain Management Program from the Scientific Basis Up
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-04T09%3A28%3A33IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=When%20There%20Is%20No%20Benchmark:%20Designing%20a%20Primary%20Care-Based%20Chronic%20Pain%20Management%20Program%20from%20the%20Scientific%20Basis%20Up&rft.jtitle=Journal%20of%20pain%20and%20symptom%20management&rft.au=Donovan,%20Marilee%20I&rft.date=1999-07-01&rft.volume=18&rft.issue=1&rft.spage=38&rft.epage=48&rft.pages=38-48&rft.issn=0885-3924&rft.eissn=1873-6513&rft_id=info:doi/10.1016/S0885-3924(99)00021-4&rft_dat=%3Cproquest_pubme%3E69950232%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=69950232&rft_id=info:pmid/10439571&rft_els_id=S0885392499000214&rfr_iscdi=true