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Scandinavian Journal of Pain

Official Journal of the Scandinavian Association for the Study of Pain

Editor-in-Chief: Breivik, Harald

4 Issues per year


CiteScore 2017: 0.84

SCImago Journal Rank (SJR) 2017: 0.401
Source Normalized Impact per Paper (SNIP) 2017: 0.452

Online
ISSN
1877-8879
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Volume 17, Issue 1

Exploring patient experiences of a pain management centre: A qualitative study

Manasi M. Mittinty / John Lee / Amanda C. de C. Williams
  • UCL Research Department of Clinical, Educational & Health Psychology, University College London, London, United Kingdom
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/ Natasha Curran
Published Online: 2017-10-01 | DOI: https://doi.org/10.1016/j.sjpain.2017.09.017

Abstract

Background and aims

To improve care and management of patients with chronic pain it is important to understand patients’ experiences of treatment, and of the people and the environment involved. As chronic pain patients often have long relationships with medical clinics and pain management centres, the team and team interactions with the patients could impact the treatment outcome. The aim of this study was to elicit as honest as possible an account of chronic pain patients’ experiences associated with their care and feed this information back to the clinical team as motivation for improvement.

Methods

The research was conducted at a large hospital-based pain management centre. One hundred consecutive patients aged 18 years and above, who had visited the centre at least once before, were invited to participate. Seventy patients agreed and were asked to write a letter, as if to a friend, describing the centre. On completion of the study, all letters were transcribed into NVivo software and a thematic analysis performed.

Results

Six key themes were identified: (i) staff attitude and behaviour; (ii) interactions with the physician; (iii) importance of a dedicated pain management centre; (iv) personalized care; (v) benefits beyond pain control; (vi) recommending the pain management centre.

Conclusion

The findings suggest that the main reasons that patients recommended the centre were: (i) support and validation provided by the staff; (ii) provision of detailed information about the treatment choices available; (iii) personalized management plan and strategies to improve overall quality of life alongside pain control. None of the letters criticized the care provided, but eight of seventy reported long waiting times for the first appointment as a problem.

Implications

Patient views are central to improving care. However, satisfaction questionnaires or checklists can be intimidating, and restrictive in their content, not allowing patients to offer spontaneous feedback. We used a novel approach of writing a letter to a friend, which encouraged reporting of uncensored views. The results of the study have encouraged the clinical team to pursue their patient management strategies and work to reduce the waiting time for a first appointment.

Keywords: Patient experiences; Pain management; Pain centre; Qualitative study; Service-user feedback; Clinical audit

References

About the article

Level 4, AHMS Building, 57 North Terrace, Adelaide 5006, Australia


Received: 2017-09-19

Accepted: 2017-09-21

Published Online: 2017-10-01

Published in Print: 2017-10-01


Ethical issues: The study was conducted at University College London Hospital’s pain management centre as a patient experience survey (a form of clinical audit) for which no ethics approval was required [26].

Conflict of interestConflict of interest statement: All the authors declare that they have no conflict of interest.


Citation Information: Scandinavian Journal of Pain, Volume 17, Issue 1, Pages 378–381, ISSN (Online) 1877-8879, ISSN (Print) 1877-8860, DOI: https://doi.org/10.1016/j.sjpain.2017.09.017.

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© 2017 Scandinavian Association for the Study of Pain.Get Permission

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