Chronic pain costs the nation up to $635 billion each year in medical treatment and lost productivity. The 2010 Patient Protection and Affordable Care Act required the Department of Health and Human Services (HHS) to enlist the Institute of Medicine (IOM) in examining pain as a public health problem.
In this report, the IOM offers a blueprint for action in transforming prevention, care, education, and research, with the goal of providing relief for people with pain in America. To reach the vast multitude of people with various types of pain, the nation must adopt a population-level prevention and management strategy. The IOM recommends that HHS develop a comprehensive plan with specific goals, actions, and timeframes. Better data are needed to help shape efforts, especially on the groups of people currently underdiagnosed and undertreated, and the IOM encourages federal and state agencies and private organizations to accelerate the collection of data on pain incidence, prevalence, and treatments. Because pain varies from patient to patient, healthcare providers should increasingly aim at tailoring pain care to each person's experience, and self-management of pain should be promoted. In addition, because there are major gaps in knowledge about pain across health care and society alike, the IOM recommends that federal agencies and other stakeholders redesign education programs to bridge these gaps. Pain is a major driver for visits to physicians, a major reason for taking medications, a major cause of disability, and a key factor in quality of life and productivity. Given the burden of pain in human lives, dollars, and social consequences, relieving pain should be a national priority.
"The report, which I found fascinating, outlines specific short-term and long-term goals that include coordinating care between primary care physicians and pain specialists at centers like Stanford's Pain Management Center, educating physicians and medical students on how to assess and treat pain, empowering sufferers to better manage their pain, and fostering research into the biology of pain and new agents for its treatment. If you or anyone you know has ever suffered from pain, you should read it."
--Scopeblog, published by the Stanford School of Medicine
"...the report calls for a "cultural transformation"--an attitude shift on the level of that seen over the last 50 years toward smoking--to spur more coordinated action to help treat Americans' pain."