التفاصيل البيبلوغرافية
| العنوان: |
A Crack in the Wall: Chronic Pain Care in Integrative Group Medical Visits. |
| المصدر: |
Conference Papers - American Sociological Association; 2019, p1-43, 43p |
| مصطلحات موضوعية: |
CHRONIC pain, PAIN management, INTEGRATIVE medicine, MEDICAL care, ORGANIZATIONAL change, DRUG abuse treatment |
| مستخلص: |
Amidst a national crisis of opioid overdose, there is substantial uncertainty about how to safely and effectively address chronic pain. This article focuses on integrative group medical visits (IGMVs), a model of care that seeks to ameliorate health care inequalities by increasing access to nonpharmacological chronic pain care. We find that several conditions of possibility make IGMVs the right tool for the job of improving chronic pain care in safety-net settings. These conditions of possibility--the current opioid crisis, uncertainty surrounding chronic pain and its treatment, and clinicians with particular commitments--allow IGMVs to open a crack in the wall of US health care as typically practiced. IGMVs have been an innovation spearheaded by individual providers rather than organizational or policy changes, and as such, their expansion has been limited. The consequences of this limited growth include opportunity for clinicians and patients to innovate together, but also further uncertainty about the value of integrative medicine and group-based care, and stratified access to IGMVs. Many patients and providers described IGMVs as better than individual care for chronic pain and saw benefits to both patient health and provider job satisfaction. Where dissemination of health care interventions often begins with the most privileged and trickles slowly, if at all, to those served in the safety-net, IGMVs have the potential to do the opposite. [ABSTRACT FROM AUTHOR] |
|
Copyright of Conference Papers - American Sociological Association is the property of American Sociological Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Supplemental Index |
