National review of acute pain service utilization, models of care, and clinical practices within the Veterans Health Administration
Authors' conclusion
Despite widespread efforts to promote opioid safety and improve pain management, the availability of dedicated acute pain services within the VHA is not universal. Higher complexity programs are more likely to have acute pain services, which may reflect differential resource distribution, but the barriers to implementation have not yet been fully explored.
Study context
- Population
- Anesthesiology service chiefs at Veterans Health Administration (VHA) surgical facilities in the US84 (60%) completed
- Participants
- 140 participants
- Outcome
- Availability and characteristics of acute pain services within VHA facilities
Methodological detailsnational electronic survey, 50-question survey
- National electronic survey
- 50-question survey
Main finding
As reported in the abstract
Facilities with an acute pain service
Responding facilities with an acute pain service
39
46%
Observational data: associations, not effects.
Further findings
Services performed most by formal acute pain programs
- Peripheral nerve catheters, inpatient consult services, and ward ketamine infusions
Original publication
National review of acute pain service utilization, models of care, and clinical practices within the Veterans Health Administration. Reg Anesth Pain Med. Published 7 June 2023. doi:10. 1136/ rapm-2023-104610
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