Health Care Utilization for Chronic Pain in Low-Income Settings.

摘要: Background Chronic pain is a serious health problem with high rates of care utilization (HCU). Many patients become stymied in perpetual cycle unsuccessful attempts to find relief from suffering through frequent visits. Especially within low-income populations, the burdens services are especially unpleasant due significant financial costs, barriers transportation, and levels stress. This study aimed examine factors associated HCU for chronic settings. Methods As part Learning About My Pain (LAMP) trial, randomized comparative effectiveness group-based psychosocial interventions (PCORI Contract #941, Beverly Thorn, PI; clinicaltrials.gov identifier NCT01967342) receiving at clinics Alabama, medical records one-year prior randomization were retrospectively collected data analysis. was defined as sum visits over this period. Sociodemographic traits (age, sex, race, poverty status, primary literacy, education level), related variables (pain severity, interference, disability, number sites, types, opioid prescriptions), psychological (depressive symptoms, catastrophizing) entered into hierarchical multiple regression model predict HCU. Results suggested that race/ethnicity, having received an prescription year treatment onset, higher depressive symptoms increased conditions. Conclusions Depressive essential aspect use. Study findings support need biopsychosocial approach management.