[Pain treatment yesterday--development of organized pain management].
This short historical report describes the course of development of interdisciplinary pain management starting from the early US-American pain clinics (nerve block clinics). The special developments in Germany are considered. The classification of pain treatment facilities is presented in detail. The change of paradigm from a biological (medical) pain model to a bio-psycho-social disease and pain concept implied abandoning monodisciplinary management strategies for chronic pain patients. Proved concerted actions regarding pain clinic organization and quality assurance are described.
Gerbershagen
H U
HU
DRK-Schmerz-Zentrum Mainz. hugerbershagen@schmerz-zentrum.de
D000553:Ambulatory Care / Q000266:history; D000698:Analgesia / Q000266:history*; D005858:Germany; D049673:History, 20th Century; D006801:Humans; D010146:Pain / Q000175:diagnosis / Q000266:history*; D018710:Pain Clinics / Q000266:history / Q000458:organization & administration; D059408:Pain Management; D011785:Quality Assurance, Health Care / Q000266:history