Primary care initiatives focused on the secondary prevention and management of chronic pain: a scoping review of the Australian literature
Pippy Walker
A D , Simone De Morgan A , Duncan Sanders B , Michael Nicholas B and Fiona M. Blyth C
+ Author Affiliations
- Author Affiliations
A The Australian Prevention Partnership Centre and Menzies Centre for Health Policy, School of Public Health, Faculty of Medicine and Health, University of Sydney, Charles Perkins Centre D17, Camperdown, NSW 2006, Australia.
B Pain Management Research Institute, Sydney Medical School – Northern, Faculty of Medicine and Health, University of Sydney, Douglas Building, Royal North Shore Hospital, St Leonards, NSW 2065, Australia.
C School of Public Health, Faculty of Medicine and Health, University of Sydney, Edward Ford Building A27, Camperdown, NSW 2006, Australia.
D Corresponding author. Email: pippy.walker@sydney.edu.au
Australian Journal of Primary Health 26(4) 273-280 https://doi.org/10.1071/PY20092
Submitted: 22 April 2020 Accepted: 9 June 2020 Published: 16 July 2020
Journal Compilation © La Trobe University 2020 Open Access CC BY-NC-ND
Abstract
The aim of this scoping review was to identify initiatives focused on the secondary prevention and management of chronic pain in Australian primary care to understand options available to Primary Health Networks and to identify evidence gaps. The Medline, EMBASE, Cumulative Index to Nursing and Allied Health Literature and Cochrane databases, as well as relevant websites, were searched for eligible records published from 2007 to 2018. Initiative characteristics and outcomes evaluated were extracted and synthesised. In all, 84 initiatives from 167 published and grey literature records were identified, including: (1) consumer initiatives that aimed to improve access to multidisciplinary care, health literacy and care navigation (n = 56); (2) health professional capacity building initiatives that aimed to ensure health professionals are skilled and provide best-practice evidence-based care (n = 21); and (3) quality improvement and health system support initiatives (n = 7). Evidence gaps were found relating to initiatives addressing the secondary prevention of chronic pain, those targeting vulnerable and regional populations, health professional capacity building initiatives for all primary health care providers and quality improvement and system support initiatives. Addressing evidence gaps related to effectiveness, cost-effectiveness and implementation should be the focus for future chronic pain initiatives in primary care settings.
Additional keywords: early intervention, healthy people programs, primary health care.
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