Cost-Effectiveness and Health Care Utilization in a Multidisciplinary Pain Center: Comparison of Three Treatment Groups |
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Authors: | Daisha J. Cipher Ephrem Fernandez P. Andrew Clifford |
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Affiliation: | (1) University of North Texas Health Science Center, Fort Worth, Texas;(2) Department of Psychology, Southern Methodist University, USA;(3) UT Southwestern Medical Center at Dallas, Dallas, Texas |
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Abstract: | Recent literature supports the efficacy of multidisciplinary pain management in treating persons suffering from chronic pain. However, the components of multidisciplinary pain management need to be evaluated in terms of effects on patients' quality of life as well as saving of future health care dollars. Therefore, cost-effectiveness of three treatment groups was compared by examining treatment outcome, posttreatment health care costs, and posttreatment health care visits. Results revealed that patients receiving both medical and psychological treatment (multidisciplinary pain management) exhibited the largest improvements in functional capacity, while being the least costly after their treatment program had ended. In contrast, patients who received only medical treatment exhibited significant deterioration in outcome after their treatment ended, and consumed substantially more posttreatment health care dollars. |
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Keywords: | chronic pain cognitive– behavioral cost-effectiveness |
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