An examination of referrals declined for chronic pain treatment: There is increasing mental health complexity within treatment seeking patients with chronic pain over time
ABSTRACTBackground Chronic pain is a complex disease that requires interprofessional care for effective management. Despite the need for multidisciplinary care, disease and healthcare inequities can prevent individuals from attaining adequate treatment. Factors such as mental health, cost, and distance to a healthcare center can contribute to healthcare accessibility inequality. The aim of this study is to examine declined referrals at the Toronto Academic Pain Medicine Institute (TAPMI) to determine the reason for declining care and number of declined referrals.Methods A retrospective chart review of all declined referrals at TAPMI in 2018 and 2022 was conducted. Referral documentation and the intake decision was extracted from the electronic medical charts by the research team and verified by the clinical intake team. Chi-square tests were conducted to determine if the proportion of declined referrals changed between the years reviewed.Results The number of declined referrals due to mental health complexities increased significantly from 51 (11%) in 2018 to 180 (18%) in 2022 (χ2 = 10.9, P = .0009). A significant rise in the number of declines due to mental health service requests was also observed (ꭓ2 = 24.53, P < .00001). Other common reasons for declined referrals in 2018 and 2022 included duplicate service, no primary care provider, and healthcare service changes.Conclusion : Mental health complexities continue to be a significant barrier to healthcare service acquisition for individuals living with chronic pain. The increase in patient complexity from 2018 to 2022 highlights the need for integrated healthcare resources..
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2024 |
|---|---|
| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2024 |
|---|---|
| Enthalten in: |
Canadian Journal of Pain - (2024) |
| Sprache: |
Englisch ; Französisch |
|---|
| Beteiligte Personen: |
Rachael Bosma [VerfasserIn] |
|---|
| Links: |
doi.org [kostenfrei] |
|---|
| Themen: |
Chronic pain |
|---|
| doi: |
10.1080/24740527.2024.2337074 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
DOAJ091454190 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | DOAJ091454190 | ||
| 003 | DE-627 | ||
| 005 | 20240414101229.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 240412s2024 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1080/24740527.2024.2337074 |2 doi | |
| 035 | |a (DE-627)DOAJ091454190 | ||
| 035 | |a (DE-599)DOAJ36cf6a8096e54f33ba97cbad3845af7e | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng |a fre | ||
| 050 | 0 | |a R5-920 | |
| 050 | 0 | |a RM1-950 | |
| 100 | 0 | |a Rachael Bosma |e verfasserin |4 aut | |
| 245 | 1 | 3 | |a An examination of referrals declined for chronic pain treatment: There is increasing mental health complexity within treatment seeking patients with chronic pain over time |
| 264 | 1 | |c 2024 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 520 | |a ABSTRACTBackground Chronic pain is a complex disease that requires interprofessional care for effective management. Despite the need for multidisciplinary care, disease and healthcare inequities can prevent individuals from attaining adequate treatment. Factors such as mental health, cost, and distance to a healthcare center can contribute to healthcare accessibility inequality. The aim of this study is to examine declined referrals at the Toronto Academic Pain Medicine Institute (TAPMI) to determine the reason for declining care and number of declined referrals.Methods A retrospective chart review of all declined referrals at TAPMI in 2018 and 2022 was conducted. Referral documentation and the intake decision was extracted from the electronic medical charts by the research team and verified by the clinical intake team. Chi-square tests were conducted to determine if the proportion of declined referrals changed between the years reviewed.Results The number of declined referrals due to mental health complexities increased significantly from 51 (11%) in 2018 to 180 (18%) in 2022 (χ2 = 10.9, P = .0009). A significant rise in the number of declines due to mental health service requests was also observed (ꭓ2 = 24.53, P < .00001). Other common reasons for declined referrals in 2018 and 2022 included duplicate service, no primary care provider, and healthcare service changes.Conclusion : Mental health complexities continue to be a significant barrier to healthcare service acquisition for individuals living with chronic pain. The increase in patient complexity from 2018 to 2022 highlights the need for integrated healthcare resources. | ||
| 650 | 4 | |a Chronic pain | |
| 650 | 4 | |a Mental Health | |
| 650 | 4 | |a Healthcare Referral | |
| 653 | 0 | |a Medicine (General) | |
| 653 | 0 | |a Therapeutics. Pharmacology | |
| 700 | 0 | |a Brittany N. Rosenbloom |e verfasserin |4 aut | |
| 700 | 0 | |a Emeralda Burke |e verfasserin |4 aut | |
| 700 | 0 | |a Christian Aquino |e verfasserin |4 aut | |
| 700 | 0 | |a Cara Stanley |e verfasserin |4 aut | |
| 700 | 0 | |a Kimberly Coombs |e verfasserin |4 aut | |
| 700 | 0 | |a Adriano Nella |e verfasserin |4 aut | |
| 700 | 0 | |a Shamalla James |e verfasserin |4 aut | |
| 700 | 0 | |a Hance Clarke |e verfasserin |4 aut | |
| 700 | 0 | |a David Flamer |e verfasserin |4 aut | |
| 700 | 0 | |a Anuj Bhatia |e verfasserin |4 aut | |
| 700 | 0 | |a John Flannery |e verfasserin |4 aut | |
| 700 | 0 | |a Andrew Smith |e verfasserin |4 aut | |
| 700 | 0 | |a Tania Di Renna |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i In |t Canadian Journal of Pain |d Taylor & Francis Group, 2019 |g (2024) |w (DE-627)DOAJ000021490 |x 24740527 |7 nnns |
| 773 | 1 | 8 | |g year:2024 |
| 856 | 4 | 0 | |u https://doi.org/10.1080/24740527.2024.2337074 |z kostenfrei |
| 856 | 4 | 0 | |u https://doaj.org/article/36cf6a8096e54f33ba97cbad3845af7e |z kostenfrei |
| 856 | 4 | 0 | |u https://www.tandfonline.com/doi/10.1080/24740527.2024.2337074 |z kostenfrei |
| 856 | 4 | 2 | |u https://doaj.org/toc/2474-0527 |y Journal toc |z kostenfrei |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_DOAJ | ||
| 951 | |a AR | ||
| 952 | |j 2024 | ||