Measurement of adherence to clinical practice guidelines for opioid therapy for chronic pain

作者：Midboe Amanda M^*; Lewis Eleanor T; Paik Meenah C; Gallagher Rollin M; Rosenberg Jack M; Goodman Francine; Kerns Robert D; Becker William C; Trafton Jodie A

来源：Translational Behavioral Medicine, 2012, 2(1): 57-64.

DOI：10.1007/s13142-011-0104-5

• Performance measurement
• Quality improvement
• Clinical practice guideline
• Pain management
• Opioid
• Process metrics

The safe and effective prescribing of opioid therapy for chronic pain has become a significant health care priority over the last several years. Substantial research has focused on patient-oriented interventions toward preventing problematic use, but provider and system level factors may be more amenable to quality improvement approaches. Here, we outline administrative data-based metrics that are intended to assess adherence to key practices outlined in the 2010 Department of Veterans Affairs/Department of Defense Clinical Practice Guideline for management of opioid therapy for chronic pain. In addition to the metrics, we discuss their development process, which was done in consultation with experts on chronic opioid therapy.

• 出版日期2012-3