S13: Integrative Pain Management: Meeting the Research Challenge of Clinical Effectiveness and Cost Efficiency

Heather Tick1, Alex Cahana1Robert Bonakdar2, Bettina Herbert3

1University of Washington, USA; 2Scripps Center for Integrative Medicine, USA; 3Jefferson-Myrna Brind Center of Integrative Medicine, USA


The field of Integrative Pain Management (IPM) is getting a lot of attention in the broad reaching analyses and reports on the state of medical care. The large numbers of people affected by pain, the vast costs of care and lost productivity, and the overall poor outcomes with the current state of pain care are highlighted in the Reports by the Department of Defense (DoD), the Institute of Medicine (IOM), The Mayday Foundation Report and NCCAM. Each of these reports directs attention towards IPM, though it is not always named as such. But what is IPM? The field needs to be defined and it has to prove its worth. If IPM is to have better outcomes with fewer complications and at lower cost, it is vital to develop standards for data  collection within the clinical practice.      In this proposed discussion session, the three speakers, who direct integrative pain programs, will present aspects of their practices, the challenges and successes of their clinical experiences. The subsequent discussion will involve the audience to address how best to conduct research in view of the recent IOM / DoD pain guidelines/documents and their relevance to current best practice models in US and abroad.