Measurement of adherence to clinical practice guidelines for opioid therapy for chronic pain

被引:22
|
作者
Midboe, Amanda M. [1 ,2 ]
Lewis, Eleanor T. [1 ]
Paik, Meenah C. [1 ]
Gallagher, Rollin M. [3 ,4 ]
Rosenberg, Jack M. [5 ]
Goodman, Francine [6 ]
Kerns, Robert D. [7 ,8 ,9 ]
Becker, William C. [10 ,11 ]
Trafton, Jodie A. [1 ,12 ]
机构
[1] VA Palo Alto Hlth Care Syst, Ctr Hlth Care Evaluat, Menlo Pk, CA 94025 USA
[2] Stanford Univ, Dept Psychiat & Behav Sci, Sch Med, Stanford, CA 94305 USA
[3] Univ Penn, Dept Psychiat, Penn Pain Med Ctr, Philadelphia VA Med Ctr,Sch Med, Philadelphia, PA 19104 USA
[4] Univ Penn, Dept Anesthesiaol & Crit Care, Penn Pain Med Ctr, Philadelphia VA Med Ctr,Sch Med, Philadelphia, PA 19104 USA
[5] Univ Michigan, VA Ann Arbor Hlth Care Syst, Ann Arbor, MI 48109 USA
[6] Pharm Benefits Management Serv, US Dept Vet Affairs, Hines, IL USA
[7] Vet Affairs Connecticut HealthCare Syst, Pain Res Informat Med Comorbidilies & Educ Ctr, West Haven, CT 06516 USA
[8] Yale Univ, Dept Psychiat, New Haven, CT 06520 USA
[9] Yale Univ, Dept Neurol & Psychol, New Haven, CT 06520 USA
[10] Yale Univ, Sch Med, Dept Med, New Haven, CT 06510 USA
[11] VA Connecticut Healthcare Syst, West Haven, CT 06516 USA
[12] Stanford Univ, Ctr Hlth Policy, Ctr Primary Care & Outcomes Res PCOR, Stanford, CA 94305 USA
关键词
Performance measurement; Quality improvement; Clinical practice guideline; Pain management; Opioid; Process metrics; METAANALYSIS; MISUSE; ABUSE;
D O I
10.1007/s13142-011-0104-5
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The safe and effective prescribing of opioid therapy for chronic pain has become a significant health care priority over the last several years. Substantial research has focused on patient-oriented interventions toward preventing problematic use, but provider and system level factors may be more amenable to quality improvement approaches. Here, we outline administrative data-based metrics that are intended to assess adherence to key practices outlined in the 2010 Department of Veterans Affairs/Department of Defense Clinical Practice Guideline for management of opioid therapy for chronic pain. In addition to the metrics, we discuss their development process, which was done in consultation with experts on chronic opioid therapy.
引用
收藏
页码:57 / 64
页数:8
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