TY - CHAP M1 - Book, Section TI - How to Manage a Pain Practice A1 - Ross, Edgar L. A2 - Bajwa, Zahid H. A2 - Wootton, R. Joshua A2 - Warfield, Carol A. Y1 - 2016 N1 - T2 - Principles and Practice of Pain Medicine, 3e AB - A well-managed pain management center is more than an economically successful pain clinic; it also provides high-quality multidisciplinary care that meets the changing needs of today's health care environment. Health care is in the initial stages of what is likely to be unprecedented change induced by unsustainable health care inflation and the growing realization that this level of expenditure has not led to uniformly world-leading outcomes.1 The targeting of health care waste such as duplication of services; patient noncompliance; emphasis on doing, not preventing; and incentives that drive reactive care and utilization of services in an episodic manner are all mentioned as cost drivers. Just 1% of the U.S. population consumes 22% of health care expenditures. The magnitude for 5% and 10% of the U.S. population is also as striking.2 There is also a widespread notion that chronic diseases such as heart disease, diabetes, and cancer are examples of cost drivers. Yet as recognized by Gaskin and Richard, chronic pain's cost exceeds the cost of heart disease, diabetes, and cancer combined.3 Yet chronic pain is rarely recognized by health care policy debates for the impact it has on expenditures overall. According to the Institute of Medicine report, there are 100 million Americans with chronic pain at a cost of $635 billion per year for treatment and lost productivity. Yet there is only one pain specialist per 33,000 patients.4 A forward-thinking pain management center that is prepared to deliver services in a timely, efficient manner and can provide high-quality services within the framework of rapidly changing delivery systems will have significant opportunities in this new era. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - neurology.mhmedical.com/content.aspx?aid=1131939785 ER -