INTRODUCTION OF A MULTIMODAL PAIN REHABILITATION INTERVENTION IN PRIMARY CARE: A PILOT STUDY.
Chronic pain
case manager
early identification
healthcare utilization
multimodal rehabilitation
primary care
Journal
Journal of rehabilitation medicine. Clinical communications
ISSN: 2003-0711
Titre abrégé: J Rehabil Med Clin Commun
Pays: Sweden
ID NLM: 101769434
Informations de publication
Date de publication:
2023
2023
Historique:
accepted:
08
01
2023
entrez:
6
3
2023
pubmed:
7
3
2023
medline:
7
3
2023
Statut:
epublish
Résumé
To evaluate patient-reported outcome measures in patients with chronic musculoskeletal pain 1 year after participation in a case manager-led multimodal rehabilitation intervention in a Finnish primary care centre. Changes in healthcare utilization (HCU) were also explored. A prospective pilot study with 36 participants. The intervention consisted of screening, multidisciplinary team assessment, a rehabilitation plan and case manager follow-up. Data were collected through questionnaires filled in after the team assessment and 1 year later. HCU data 1 year before and 1 year after team assessment were compared. At follow-up, satisfaction with vocational situation, self-reported work ability and health-related quality of life (HRQoL) had improved and pain intensity had diminished significantly for all participants. The participants who reduced their HCU improved their activity level and HRQoL. Early intervention by a psychologist and mental health nurse was distinctive for the participants who reduced HCU at follow-up. The findings demonstrate the importance of early biopsychosocial management of patients with chronic pain in primary care. Identification of psychological risk factors at an early stage may lead to better psychosocial wellbeing, improve coping strategy and reduce HCU. A case manager may free up other resources and thereby contribute to cost savings.
Identifiants
pubmed: 36875170
doi: 10.2340/jrmcc.v6.3712
pii: JRMCC-6-3712
pmc: PMC9983332
doi:
Types de publication
Journal Article
Langues
eng
Pagination
3712Informations de copyright
© Published by Medical Journals Sweden, on behalf of the Foundation for Rehabilitation Information.
Déclaration de conflit d'intérêts
The authors have no conflicts of interest to declare.
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