The Management of Idiopathic Chronic Pain: A Holistic Approach

1981 ◽  
Vol 26 (6) ◽  
pp. 429-431
Author(s):  
H. Brent Richard ◽  
Gerald H. Flamm
Keyword(s):  
Health Care ◽  
Chronic Pain ◽  
Psychosomatic Medicine ◽  
Health Care Services ◽  
Holistic Approach ◽  
Secondary Gain ◽  
Biopsychosocial Approach ◽  
Care Services ◽  
Recent Developments ◽  
Symptom Formation

The evaluation and treatment of the patient with idiopathic chronic pain traditionally has involved a sequence of studies first by the internist, then the neurologist, and finally the psychiatrist. This has resulted in an overutilization of costly health care services and may paradoxically have helped to promote symptom chronicity. In keeping with recent developments in the field of psychosomatic medicine, a coordinated biopsychosocial approach is advocated with the identification and amelioration of the multiple determinants of symptom formation in each of these interrelated sub-systems. A case is presented in which the application of this holistic approach appeared to help curtail the overuse of health care services and at the same time helped to diminish psychosocial reinforcers in the form of secondary gain.

Forwards or Backwards? New Directions in Danish Patients’ Rights Legislation

2011 ◽  
Vol 18 (4) ◽  
pp. 365-374
Author(s):  
Mette Hartlev
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Health Care Professions ◽  
Patients Rights ◽  
Care Services ◽  
New Directions ◽  
Recent Developments ◽  
Legislative Activity

AbstractThe Danish Patients’ Rights Act from 1998 was the first comprehensive piece of legislation addressing the basic legal values and principles governing the relation between patient and the health care services. Since the adoption of the Act there has been continuous legislative activity in the field, and the objective of the article is to discuss how recent developments in Danish patients’ rights legislation shall be interpreted in terms of balancing interests of patients towards interests of society and the health care professions.

Gender Differences in Psychosocial Adjustment to Chronic Pain and Expenditures for Health Care Services Used

1996 ◽  
Vol 12 (4) ◽  
pp. 277-290 ◽  
Author(s):  
Robin Weir ◽  
Gina Browne ◽  
Eldon Tunks ◽  
Amiram Gafni ◽  
Jackie Roberts
Keyword(s):  
Health Care ◽  
Gender Differences ◽  
Chronic Pain ◽  
Psychosocial Adjustment ◽  
Health Care Services ◽  
Care Services

scholarly journals Telemedicine in the United States: An Introduction for Students and Residents (Preprint)

2020 ◽  
Author(s):  
Maryam A Hyder ◽  
Junaid Razzak
Keyword(s):  
United States ◽  
Health Care ◽  
Health Care Services ◽  
Hospital Readmissions ◽  
The United States ◽  
Full Potential ◽  
Care Services ◽  
Recent Developments ◽  
Delivery Of Medical Care

UNSTRUCTURED Telemedicine refers to the delivery of medical care and provision of general health services from a distance. Telemedicine has been practiced for decades with increasing evidence proving its potential for enhanced quality of care for patients, reduction in hospital readmissions, and increase in savings for both patients and providers. The COVID-19 pandemic has resulted in a significant increase in the reliance on telemedicine and telehealth for provision of health care services. Developments in telemedicine should be structured as complements to current health care procedures, not with the goal of completely digitizing the entire health care system, but rather to use the power of technology to enhance areas that may not be working at their full potential. At the same time, it is also clear that further research is needed on the effectiveness of telemedicine in terms of both financial and patient benefits. We discuss the current and rapidly increasing knowledge about the use of telemedicine in the United States, and identify the gaps in knowledge and opportunities for further research. Beginning with telemedicine’s origins in the United States to its widespread use during the COVID-19 pandemic, we highlight recent developments in legislation, accessibility, and acceptance of telemedicine.

scholarly journals Telemedicine in the United States: An Introduction for Students and Residents

10.2196/20839 ◽  
2020 ◽  
Vol 22 (11) ◽  
pp. e20839
Author(s):  
Maryam A Hyder ◽  
Junaid Razzak
Keyword(s):  
United States ◽  
Health Care ◽  
Health Care Services ◽  
Hospital Readmissions ◽  
The United States ◽  
Full Potential ◽  
Care Services ◽  
Recent Developments ◽  
Delivery Of Medical Care

Telemedicine refers to the delivery of medical care and provision of general health services from a distance. Telemedicine has been practiced for decades with increasing evidence proving its potential for enhanced quality of care for patients, reduction in hospital readmissions, and increase in savings for both patients and providers. The COVID-19 pandemic has resulted in a significant increase in the reliance on telemedicine and telehealth for provision of health care services. Developments in telemedicine should be structured as complements to current health care procedures, not with the goal of completely digitizing the entire health care system, but rather to use the power of technology to enhance areas that may not be working at their full potential. At the same time, it is also clear that further research is needed on the effectiveness of telemedicine in terms of both financial and patient benefits. We discuss the current and rapidly increasing knowledge about the use of telemedicine in the United States, and identify the gaps in knowledge and opportunities for further research. Beginning with telemedicine’s origins in the United States to its widespread use during the COVID-19 pandemic, we highlight recent developments in legislation, accessibility, and acceptance of telemedicine.

scholarly journals AYURVEDA - A RAY OF HOPE IN VIRAL PANDEMIC OR COVID

2020 ◽  
Vol p4 (06) ◽  
pp. 2494-2497
Author(s):  
Meenakshi Shukla ◽  
Bipin Kumar Mishra
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Therapeutic Strategy ◽  
Holistic Approach ◽  
The Body ◽  
Human Beings ◽  
Medical Systems ◽  
Care Services ◽  
Long Life ◽  
Biomedical System

India is known for its traditional medicinal systems—Ayurveda, Siddha, and Unani. Medical systems are mentioned even in the ancient Vedas and other scriptures. The Ayurvedic concept appeared and developed between 2500 and 500 BC in India. The literal meaning of Ayurveda is “science of life,” because ancient Indian system of health care focused on views of man and his illness. It has been pointed out that the posi-tive health means metabolically well-balanced human beings. Ayurveda is also called the “science of lon-gevity” because it offers a holistic approach to live healthy and long life. It offers programs to rejuvenate the body through diet and nutrition. It offers treatment methods to cure many common diseases along with newer form of viral pandemics. Despite of worldwide efforts, trials of many drugs and in path of inventing vaccine. The COVID-19 requires an urgent harnessing of all knowledge/system of medicine which can bring proven prophylaxis & therapeutic strategy. Ayurveda can serve the humanity, but it requires a prag-matic plan for intervention in this time of crisis along with immediate implementation. It is pertinent to reit-erate that participation of Ayurveda in addressing COVID-19 challenge should be seen as extension of health care services and support to biomedical system.

scholarly journals “No one wants you” – a qualitative study on the experiences of receiving rejection from tertiary care pain centres

2020 ◽  
Vol 20 (3) ◽  
pp. 525-532
Author(s):  
Torunn Hatlen Nøst ◽  
Mona Stedenfeldt ◽  
Aslak Steinsbekk
Keyword(s):  
Health Care ◽  
Chronic Pain ◽  
Qualitative Study ◽  
Health Care Services ◽  
Treatment Options ◽  
Tertiary Care ◽  
Standard Of Care ◽  
Pain Experience ◽  
Care Services ◽  
Pain Centre

AbstractBackground and aimsFour out of 10 referrals to tertiary care pain centres in Norway are not granted pain centre treatment, confirming earlier research on that this group of patients struggle to access the highest standard of care. Still, no study investigating how people with chronic pain experience rejections from pain centres was found. The aim of the study was therefore to investigate how people with chronic pain experience receiving a rejection from tertiary care pain centres after being referred by their general practitioners (GPs).MethodsThis was a qualitative study with semi-structured individual interviews with 12 persons, seven men and five women, rejected from the four different pain centres in Norway. The data were analysed thematically using systematic text condensation.ResultsThe pain centre rejection created strong reactions, partly because the rejection was perceived as a refusal from the health care system as a whole. This was especially so because the pain centre was regarded as the last remaining treatment option, and given the rejection, they were now declined help by the experts in the field. Even though some informants had received an explanation for why they had not been granted pain centre treatment, a prominent experience was that the informants found it difficult to understand why their referral had been rejected given the severity of their pain. The incomprehensibility of the rejection together with a feeling of lack of future treatment options, increased the hopelessness and frustration of their situation and made it challenging to move on and search for help elsewhere.ConclusionsThe experiences with the pain centre rejections indicate that the rejection can have grave consequences for each individual in the following months. An improved system for how to handle expectations towards referrals, including prepare for the possibility of rejection and how to follow up a rejection, seems warranted.ImplicationsBecause a pain centre rejection most likely is received by persons in a vulnerable position, there should be available health care services to help them understand the rejections. And furthermore, help them to move from disappointment and hopelessness, towards an experience of empowerment and reorientation, by for instance planning further actions and interventions, and thereby, acknowledge their need for help.

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