The case for pain medicine

被引：23

作者：

Fishman, SM

Gallagher, RM

Carr, DB

Sullivan, LW

机构：

[1] Univ Calif Davis, Sch Med, Dept Anesthesiol & Pain Med, Div Pain Med, Sacramento, CA 95817 USA

[2] Philadelphia VA Med Ctr, Dept Anesthesia, Pain Med Serv, Philadelphia, PA USA

[3] Univ Penn, Dept Psychiat, Philadelphia, PA 19104 USA

[4] Univ Penn, Dept Anesthesiol, Philadelphia, PA 19104 USA

[5] Tufts Univ, Sch Med, Dept Anesthesiol, Boston, MA 02111 USA

[6] Tufts Univ, Sch Med, Dept Internal Med, Boston, MA 02111 USA

[7] Morehouse Coll Sch Med, Off President Emeritus, Atlanta, GA USA

来源：

PAIN MEDICINE | 2004年 / 5卷 / 03期

关键词：

pain medicine; specialty; primary specialty; classification;

D O I：

10.1111/j.1526-4637.2004.04050.x

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Pain Medicine has its roots in multiple primary specialties and has developed into a discrete specialty with disparate practice styles. Its identity is in flux and is threatened by forces that may fragment this new field before it can set firm roots. The public health crisis of under treated pain parallels medicine's struggle to adequately classify Pain Medicine as a specialty. We review the case for Pain Medicine as a discrete discipline, with specialized knowledge, treatments, training and education. Without recognition of the specialty of Pain Medicine, and resolution of the fragmentation of the field throughout healthcare, medicine's approach to the current problem of under treated pain is likely to continue to be inadequate.

引用

页码：281 / 286

页数：6

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[51] PROGRESSION OF FUNCTIONAL DISABILITY IN PATIENTS WITH RHEUMATOID-ARTHRITIS - ASSOCIATIONS WITH RHEUMATOLOGY SUBSPECIALTY CARE [J].