title: Health Services for Management of Chronic Non-Cancer Pain in Kuwait: A Case Study Review.
abstract: The experience of chronic pain is universal, yet pain management services delivered by health professionals vary substantially, depending on the context and patient. This review is a part of a series that has examined the issue of chronic non-cancer pain services and management in different global cities. The review is structured as a case study of the availability of management services for people living with chronic non-cancer pain within the context of the Kuwaiti health systems, and the cases are built from evidence in the published literature identified through a comprehensive review process. The evolution of the organizational structure of the public and private health systems in Kuwait is described. These are discussed in terms of their impact on the delivery of comprehensive chronic pain management service by health professionals in Kuwait. This review also includes a description of chronic pain patient personas to highlight expected barriers as well as compliance issues with services likely to be encountered in Kuwait. The case study analysis and persona descriptions illustrate a need to move beyond pain symptom management towards considering the entire person and his/her individual experience of pain such that health care success is judged by enhancement of patient well-being rather than access to services. A road map for improving integrative chronic pain management in Kuwait is discussed.
authors.affiliation: University of Toronto, Toronto, Ont., Canada.
authors.forename: S Fatima
authors.initials: SF
authors.lastname: Lakha
authors.forename: Peter
authors.initials: P
authors.lastname: Pennefather
authors.forename: Hanan E
authors.initials: HE
authors.lastname: Badr
authors.forename: Angela
authors.initials: A
authors.lastname: Mailis-Gagnon
mesh_terms: D059350:Chronic Pain / Q000453:epidemiology* / Q000628:therapy*; D019468:Disease Management; D006801:Humans; D007730:Kuwait / Q000453:epidemiology; D018710:Pain Clinics / Q000458:organization & administration*; D059408:Pain Management / Q000379:methods*; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D011320:Primary Health Care / Q000458:organization & administration*; D019984:Quality Indicators, Health Care