title: Models of healthcare delivery in cancer pain management.
abstract: The delivery of pain management services to patients with cancer varies across healthcare settings. Identification of areas common to successful programs would be helpful to healthcare professionals developing or restructuring their own programs. The delivery of pain management services in six different systems is described with respect to organizational structure, service process, and essential components. Three elements common to successful programs are identified: (1) team effort and coordination, (2) provision of education, and (3) accountability and administrative support. The authors conclude that these three elements are critical to the delivery of pain management services across healthcare settings.
authors.affiliation: Pain Consultation Service, Swedish Hospital Medical Center, Seattle, WA.
authors.forename: A
authors.initials: A
authors.lastname: Williams
authors.forename: P
authors.initials: P
authors.lastname: Kedziera
authors.forename: H
authors.initials: H
authors.lastname: Osterlund
authors.forename: B
authors.initials: B
authors.lastname: St Marie
authors.forename: W
authors.initials: W
authors.lastname: Gronbeck
authors.forename: C
authors.initials: C
authors.lastname: Wenzl
authors.forename: N
authors.initials: N
authors.lastname: Kramarenko
mesh_terms: D006282:Health Personnel / Q000193:education; D006748:Hospital Departments / Q000458:organization & administration* / Q000592:standards; D006801:Humans; D009369:Neoplasms / Q000503:physiopathology*; D009937:Organizational Objectives; D010146:Pain / Q000209:etiology / Q000517:prevention & control*; D010347:Patient Care Planning; D010348:Patient Care Team / Q000458:organization & administration* / Q000592:standards; D000078329:Workforce