Brent Moore, PhD, Assistant Professor in the Department of Psychiatry at Yale University, explains the stepped-care model of pain management at the American Pain Society 33rd Annual Scientific Meeting, held April 30, 2014, to May 3, 2014, in Tampa, FL.
For their study, Moore and his team attempted to evaluate the treatment of pain in the primary care setting, including receipt of opioid prescription, opioid agreement, and urine toxicology reports.
“Pain starts out in primary care, and then as patients have complexities that can’t be dealt with in that context, you move up in care into secondary and tertiary types of treatment, and also refer out to further types of treatment that would be relevant,” Moore says.
The study focused on data from the Veterans Affairs Connecticut Healthcare System over a 4-year period. The data were further broken up into groups of patients who were treated for acute (<90 days) or chronic (≥90 days) pain.