Cited by 125Pain Management and Opioid UseCultural Competency in Health CareOpioid Use Disorder Treatment

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Advancing a National Agenda to Eliminate Disparities in Pain Care: Directions for Health Policy, Education, Practice, and Research

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Meghani, Salimah H., Polomano, Rosemary C., Tait, Raymond C., Vallerand, April H., Anderson, Karen O., Gallagher, Rollin M.·2012·Pain Medicine

DOI 10.1111/j.1526-4637.2011.01289.x

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Abstract

BACKGROUND: Pain is strongly associated with significant personal and societal costs. A crucial element of any initiative on pain must focus on eliminating pain care disparities that are pervasive throughout the United States health care settings. OBJECTIVES: This report focuses on macro-level factors related to pain care disparities in the United States that may be amenable to policy interventions. METHODS: We identify concrete opportunities for achieving equity in pain care, especially those occasioned by recent legislative changes in the United States health care system. An aggressive policy, advocacy, and research agenda is synthesized in five domains: 1) structural/system; 2) policy and advocacy; 3) workforce; 4) provider; and 5) research. RESULTS: Inequities in pain care remain an important and neglected health policy concern. Many direct and indirect provisions within the Affordable Care Act (ACA) and other national initiatives that leverage on ACA offer opportunities to achieve equity in pain care. These include changes in insurance, in public, provider, and legislative education, in primary care and pain specialist training, improving workforce diversity, achieving uniformity in race/ethnicity data collection, emphasizing patient-centered outcomes research, and encouraging focus on pain care disparities within the comparative effectiveness research paradigm. CONCLUSIONS: Recent national legislative initiatives within ACA are expected to generate multilevel efforts that will impact the flow of funding to address the pervasive issue of disparities. It is an opportune time for the pain community to take a lead in implementing a concerted agenda on pain care disparities in order to leverage these national initiatives.

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Authors: Meghani, S. H., Polomano, R. C., Tait, R. C., Vallerand, A. H., Anderson, K. O., & Gallagher, R. M.
Affiliations: University of Pennsylvania (US)
Saint Louis University (US)
Wayne State University (US)
The University of Texas MD Anderson Cancer Center (US)
Philadelphia VA Medical Center (US)
Corresponding author: Meghani, Salimah H.
ORCID: Meghani, Salimah H.
Polomano, Rosemary C.
Tait, Raymond C.
Vallerand, April H.
Venue: Pain Medicine
Publisher: Oxford University Press (OUP)
Published: 2012-01
Volume: 13
Issue: 1
Pages: 5-28
ISSN: 1526-2375 (ISSN-L)
1526-4637
DOI: 10.1111/j.1526-4637.2011.01289.x
OpenAlex: W1946691868
Cited by: 124
References: 130
Citations by year: 2026: 2 · 2025: 4 · 2024: 10 · 2023: 14 · 2022: 13 · 2021: 13 · 2020: 6 · 2019: 8 · 2018: 7 · 2017: 7 · 2016: 9 · 2015: 6 · 2014: 16 · 2013: 6 · 2012: 3
FWCI: 10.90
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: doi.wiley.com/10.1002/tdm_license_1 (tdm, 1339 d)
Locations: Pain Medicine (publishedVersion)
PubMed (publishedVersion)
University Libraries (University of Maryland) (submittedVersion)
HighWire Press Open Archive (submittedVersion)
Digital Repository at the University of Maryland (University of Maryland College Park)
Funders: Janssen Scientific Affairs
Topics: Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Cultural Competency in Health Care
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
Keywords: health equity, Affordable Care Act, health policy, pain education, patient-centered outcomes research, comparative effectiveness research, health insurance coverage, health care legislation
MeSH terms: Education, Medical, Continuing, Education, Medical, Graduate, Ethnicity, Health Planning Guidelines, Health Policy, Humans, United States, Biomedical Research, Healthcare Disparities, Pain Management

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Advancing a National Agenda to Eliminate Disparities in Pain Care: Directions for Health Policy, Education, Practice, and Research

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