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Prioritising pain in policy making: The need for a whole systems perspective

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  • Phillips, Ceri
  • Main, Chris
  • Buck, Rhiannon
  • Aylward, Mansel
  • Wynne-Jones, Gwenllian
  • Farr, Angela

Abstract

This review aims to bring together current evidence on the impact of chronic pain in terms of its economic costs, cost to healthcare services and benefit agencies, and quality of life, and to discuss the implications of this for government policies. Quantifying the burden and cost of pain is challenging due to its multi-factorial nature and wide reaching effects. Nonetheless, there is a consensus that chronic pain has a significant impact on levels of resources across society and on quality of life. Pain is a complex bio-psychosocial experience and chronic pain is a consequence, in part, of adopting a narrow biomedical treatment approach to a problem which requires a multi-disciplinary approach to address the psychosocial, behavioural and biomedical aspects of pain. Although effective pain management interventions and programmes exist, provision of these services is inconsistent, and chronic pain is not given the priority it requires in view of the extent of its burden on individuals and society. Current relevant government policies in UK are discussed to highlight the need to prioritise pain and adopt a whole-systems approach to its management if governments are to successfully reduce its cost and burden.

Suggested Citation

  • Phillips, Ceri & Main, Chris & Buck, Rhiannon & Aylward, Mansel & Wynne-Jones, Gwenllian & Farr, Angela, 2008. "Prioritising pain in policy making: The need for a whole systems perspective," Health Policy, Elsevier, vol. 88(2-3), pages 166-175, December.
    • Handle: RePEc:eee:hepoli:v:88:y:2008:i:2-3:p:166-175
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    References listed on IDEAS

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    1. Baril, R. & Clarke, J. & Friesen, M. & Stock, S. & Cole, D., 2003. "Management of return-to-work programs for workers with musculoskeletal disorders: a qualitative study in three Canadian provinces," Social Science & Medicine, Elsevier, vol. 57(11), pages 2101-2114, December.
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    Cited by:

    1. Brenda Gannon & Edel Smith & Grace McNally & David P. Finn & Chris Noone & David O’Gorman & Nancy Ruane & Brian E. McGuire, 2011. "Counting The Cost Of Chronic Pain: An Analysis Of Intensive Service Users," Working Papers 1108, Academic Unit of Health Economics, Leeds Institute of Health Sciences, University of Leeds.

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