Economic implications of pain management

Background: Economic issues in pain management affect the patient, the prov ider and society This paper will review some of the data on the costs to so ciety of chronic pain and its associated disability. It will also look at t he costs to patient and provider of alternative economic models. Conceptual issues that underlie health care delivery and the attendant costs must be addressed if society is to gain control over runaway health care costs and reduce the economic burden of chronic pain and disability for the patient a s well as the provider. Methods: Literature review and synthesis. Results: Chronic pain is the primary cause of health care consumption and d isability in the working years. Multidisciplinary pain clinics have proven utility. Data on efficacy of most other kinds of care is lacking. Disabilit y costs are related to conceptual inadequacies and the medicalization of po st-industrial societies. Conclusion: To control inappropriate care and escalating costs, we must cha nge concepts of pain and disability and the methods of funding both of thes e in relation to chronic pain. The outcome of the continuing struggle betwe en the profession of medicine, the state and capitalists will determine how and whether pain management is a part of medical care.