Prioritising pain in policy making: The need for a whole systems perspective

Phillips, Ceri; Main, Chris J.; Buck, Rhiannon; Aylward, Mansel; Wynne‐Jones, Gwenllian; Farr, Angela

doi:10.1016/j.healthpol.2008.03.008

Cited by 49 publications

(47 citation statements)

References 67 publications

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“…441 Pain has a high impact on the individual's physical, psychological and social wellbeing. 12 For example, 49% of patients with persistent pain experience depression, 25% lose their jobs and 16% feel their chronic pain is so bad that they sometimes want to die. 6 In terms of cost, musculoskeletal pain may account for 2% of the Gross Domestic Product of Europe.…”

Section: 57mentioning

confidence: 99%

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A meta-ethnography of patients’ experience of chronic non-malignant musculoskeletal pain

Toye

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Allcock

et al. 2013

Health Services and Delivery Research

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Health Services and Delivery ResearchISSN 2050-4349 (Print) ISSN 2050-4357 (Online) This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/).Editorial contact: nihredit@southampton.ac.ukThe full HS&DR archive is freely available to view online at www.journalslibrary.nihr.ac.uk/hsdr. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Health Services and Delivery Research journalReports are published in Health Services and Delivery Research (HS&DR) if (1) they have resulted from work for the HS&DR programme or programmes which preceded the HS&DR programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors. HS&DR programmeThe Health Services and Delivery Research (HS&DR) programme, part of the National Institute for Health Research (NIHR), was established to fund a broad range of research. It combines the strengths and contributions of two previous NIHR research programmes: the Health Services Research (HSR) programme and the Service Delivery and Organisation (SDO) programme, which were merged in January 2012.The HS&DR programme aims to produce rigorous and relevant evidence on the quality, access and organisation of health services including costs and outcomes, as well as research on implementation. The programme will enhance the strategic focus on research that matters to the NHS and is keen to support ambitious evaluative research to improve health services.For more information about the HS&DR programme please visit the website: www.netscc.ac.uk/hsdr/ This reportThe research reported in this issue of the journal was funded by the HS&DR programme or one of its proceeding programmes as project number 09/2001/09. The contractual start date was in October 2010. The final report began editorial review in November 2012 and was accepted for publication in February 2013. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The HS&DR editors and production house have tried to ensure the accuracy of the authors' report and would like to thank the reviewers for their constructive comments on the final report document. However, they do not accept liability for damages or losses arising from material published in this report.This report presents independent research funded by the National Institute for Health Research (NIHR). The views and opinions expressed by authors in this publication are those of the authors and do not necessarily reflect those of the NHS, the NIHR, NETSCC, the HS&DR programme or the Department of Health. If there are verbatim quotations included in this publication the views and opinions expressed by the interviewees are those of the interviewees and do not necessarily reflect those of the authors, those of the NHS, the NIHR, NETSCC, the HS&DR programme or the Department of Health. Published b...

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Section: 57mentioning

confidence: 99%

“…Health need. Chronic pain has a huge impact on the quality of life of adults in the UK, 6,7,11,12,441 and this is recognised in recent UK policy documents. 6,15,16 The research may be used to inform the development of quality of life tools to be used in chronic pain.…”

Section: Appendix 1 Protocolmentioning

confidence: 99%

A meta-ethnography of patients’ experience of chronic non-malignant musculoskeletal pain

Toye

Seers

Allcock

et al. 2013

Health Services and Delivery Research

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“…However, the highest costs appear to be those associated with presenteeism, rather than sickness absence or long-term incapacity for work 1 . A study of the relationship between absenteeism and presenteeism demonstrated that 25% of absentees experienced a loss of productivity before their absence and 20% after they returned 7 .…”

Section: The Impact Of Pain On Workmentioning

confidence: 99%

“…The economic costs of reduced work capacity due to pain vastly outweigh direct medical costs 1,2 . As a result, this is a highly politicised issue, with increasing interest from the government, insurers and employers in reducing the impact of pain on work.…”

Section: Introductionmentioning

confidence: 99%

Working with Musculoskeletal Pain

et al. 2009

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• Pain has a significant impact on work in terms of presenteeism, sickness absence, and long-term incapacity for work • A bio-psychosocial approach is required in understanding pain-related disability and incapacity for work • Long-term absence from work is associated with a number of negative outcomes including; poverty, social exclusion and poorer physical and psychosocial well-being • Return to work can improve recovery for people with musculoskeletal complaints and pain • Interventions to reduce the impact of pain on work can operate at clinical, worker, workplace, and wider systems levels • A broader whole systems approach to pain management needs to be adopted, with a greater focus on work retention as well as rehabilitation

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“…Moreover, chronic pain entails as a huge socioeconomic burden for the society. The socioeconomic consequences include for example work absenteeism, health care utilization and allowance from the social insurance system [23,28]. The consequences and characteristics (see below) for chronic pain are not linked to specific diagnoses or pain sites.…”

Section: Epidemiology Of Chronic Painmentioning

confidence: 99%

Chronic Pain and Exercise: Studies on pain intensity, biochemistry, adherence and attitudes

Karlsson¹

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Prioritising pain in policy making: The need for a whole systems perspective

Cited by 49 publications

References 67 publications

A meta-ethnography of patients’ experience of chronic non-malignant musculoskeletal pain

A meta-ethnography of patients’ experience of chronic non-malignant musculoskeletal pain

Working with Musculoskeletal Pain

Chronic Pain and Exercise: Studies on pain intensity, biochemistry, adherence and attitudes

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