Impact evaluation of an interdisciplinary approach to patients with chronic non-cancer pain in Chilean primary care

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dc.article.number423
dc.catalogadoraba
dc.contributor.authorZamorano, Paula
dc.contributor.authorVarela Yuraszeck, Teresita Ines
dc.contributor.authorSalvatierra Matzner, Isidora
dc.contributor.authorTellez, Álvaro
dc.contributor.authorEspinoza Sepúlveda, Manuel Antonio
dc.contributor.authorTorres Riveros, Gustavo Andrés
dc.contributor.authorRodríguez, Victoria
dc.contributor.authorFigueroa, María José
dc.contributor.authorRodríguez, Alejandro
dc.contributor.authorFigueroa, Denisse
dc.contributor.authorSilva, Leonardo
dc.contributor.authorSalazar, Sheila
dc.contributor.authorLucero, Víctor
dc.contributor.authorSuarez, Francisco
dc.date.accessioned2025-04-07T20:43:27Z
dc.date.available2025-04-07T20:43:27Z
dc.date.issued2025
dc.date.updated2025-03-30T01:10:06Z
dc.description.abstractIntroduction Chronic non-cancer pain affects one-third of the global population. In Chile, its prevalence is estimated at 34%, surpassing the prevalence of diabetes mellitus and hypertension. Its high costs reveal that clinical treatment causes the greatest economic impact, followed by days of work absenteeism. Objective This study aims to evaluate the impact on resource consumption, quality of life, and pain perception in patients with CNCP, an interdisciplinary approach implemented in Chilean primary care public health. Methods A concurrent cohort study was conducted with patients aged 25 to 64 with chronic non-cancer musculoskeletal pain. The population studied was 698 patients receiving primary health services in centers with similar size and territorial proximity. The clinical intervention introduced patient-centered care, psychotherapy and physiotherapy from the perspective of the neuroscience of pain. The impact analysis was conducted using negative binomial regression models, generalized linear models, and ordered logistic regressions. Results Results show that the patients who were intervened increased the number of physician consultations at primary care (IRR: 1.56; 95% CI 1.30–1.87) and increased medication consumption (coef 2.38; 95% CI 2.10–2.67) compared to control patients. Intervened patients improved their quality of life (COEF 0.14; 95% CI 0.09–0.19), and pain perception was statistically significant. Despite the health system’s structural, cultural, and organizational barriers, the intervention was implemented and consolidated in daily operation, providing learnings for a further scale-up. Conclusion The study demonstrates that an interdisciplinary approach to chronic non-cancer pain management in Chilean primary care improves quality of life and pain perception while increasing healthcare resource use. Despite system barriers, the intervention was successfully implemented and sustained within patient-centered care. These findings highlight the need for resource reallocation to ensure long-term sustainability and scalability through the public health system.
dc.fechaingreso.objetodigital2025-03-30
dc.format.extent9 páginas
dc.fuente.origenBiomed Central
dc.identifier.doi10.1186/s12913-025-12560-9
dc.identifier.issn1472-6963
dc.identifier.scopusid2-s2.0-105000705231
dc.identifier.urihttps://doi.org/10.1186/s12913-025-12560-9
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/103147
dc.identifier.wosidWOS:001450789300002
dc.information.autorucEscuela de Medicina; Varela Yuraszeck, Teresita Ines; S/I; 149031
dc.information.autorucEscuela de Medicina; Tellez, Alvaro; 0000-0003-1667-6243; 99828
dc.information.autorucEscuela de Medicina; Espinoza Sepúlveda, Manuel Antonio; 0000-0001-9564-9512; 10720
dc.information.autorucEscuela de Medicina; Torres Riveros, Gustavo Andrés; S/I; 1014385
dc.issue.numero1
dc.language.isoen
dc.nota.accesocontenido completo
dc.revistaBMC Health Services Research
dc.rightsacceso abierto
dc.rights.licenseAttribution-NonCommercial-NoDerivatives 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectNon-cancer chronic pain
dc.subjectMultimorbidity
dc.subjectPrimary care
dc.subjectPatient-centered care
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.titleImpact evaluation of an interdisciplinary approach to patients with chronic non-cancer pain in Chilean primary care
dc.typeartículo
dc.volumen25
sipa.codpersvinculados149031
sipa.codpersvinculados99828
sipa.codpersvinculados10720
sipa.codpersvinculados1014385
sipa.indexSCOPUS
sipa.indexWOS
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