title: [Chronic pain care : Reality and entitlement].
abstract: From the point of view of healthcare policies, improvement in pain care has been required for years; however, there is a great discrepancy between the current need for pain care and the actual provision by healthcare services. This article seeks to demonstrate that while healthcare policies are one of the critical factors involved, a variety of conceptual, diagnostic and therapeutic causes should also be taken into account. Firstly, considering that pain care is primarily concerned with the suffering of pain by patients, the focus lies with their conscious experience in order to define the patients' understanding of pain. Additionally, in this article current biomedical and psychosocial comprehension concerning chronic pain will be illustrated and why it is necessary to broaden our horizons in order to do justice to patients with chronic pain.
authors.affiliation: Interdisziplinäres Schmerzzentrum ISZ, Universitätsklinikum Freiburg, Breisacher Str. 64, 79106, Freiburg, Deutschland. kristin.kieselbach@uniklinik-freiburg.de.
authors.forename: K
authors.initials: K
authors.lastname: Kieselbach
authors.affiliation: Konservative Orthopädie und Schmerztherapie, Klinik für Orthopädie und Unfallchirurgie, Zentrum für Orthopädie, Unfallchirurgie und Paraplegiologie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Schiltenwolf
authors.affiliation: Institut für Ethik und Geschichte der Medizin, Albert-Ludwigs-Universität Freiburg, Freiburg, Deutschland.
authors.forename: C
authors.initials: C
authors.lastname: Bozzaro
mesh_terms: D059350:Chronic Pain / Q000191:economics / Q000523:psychology* / Q000628:therapy*; D003131:Combined Modality Therapy / Q000191:economics / Q000523:psychology; D003363:Cost Control / Q000191:economics; D003469:Culture; D005858:Germany; D006291:Health Policy / Q000191:economics; D006297:Health Services Accessibility / Q000191:economics; D006301:Health Services Needs and Demand / Q000191:economics; D006801:Humans; D055809:Illness Behavior; D009313:National Health Programs / Q000191:economics; D059408:Pain Management / Q000191:economics / Q000523:psychology*; D011057:Politics; D011788:Quality of Life / Q000523:psychology; D012934:Social Isolation
keywords: Care; Health care policy; Multimodal pain therapy; Pain management; Psychosocial factors; Understanding of pain