[How to assess health outcomes in chronic non-cancer pain? Qualitative research]

Abstract

Introduction and objectives: There is a lack of indicators that evaluate the health results of the non-cancer chronic pain (NCCP). The objective of this study was to agree on how to evaluate health outcomes in NCCP in Spain, as well as to propose lines of action to have an optimal evaluation framework not only for patients, but for healthcare professionals and managers as well.

Material and methods: This was a qualitative research study through directed group interviews which followed a script based on structured questions using the PICO methodology.

Results: More than the intensity of pain, the main points to be measured are pain-free time, improved rest/sleep, improved mood, recovery of daily activities and adherence to treatment, in addition to -in the scope of management- resource consumption. The therapeutic objective must be defined individually, based on the adjustment of expectations between the healthcare professional and the patients, taking into account their preferences and involving them in the therapeutic process. Patients and caregivers must be informed and trained with special emphasis on the psycho-emotional sphere of pain.

Conclusions: It is necessary to evaluate the health outcomes in NCCP in Spain. Lines of action are proposed that might provide an adequate assessment framework for the patient, the healthcare professionals and the health managers.

Keywords: Calidad de la atención sanitaria; Chronic pain; Dolor crónico; Pacientes; Patients; Quality of health care.