EMPHN seeks GP input on how to improve patient recovery from acute pain

One in five Australians now suffer from chronic pain. Surgery, whiplash, low back pain and work injuries are well known causes of acute pain. Ensuring that at-risk patients receive best-practice pain recovery within the six to twelve-week period after an acute event can reduce the risk of transition to chronic pain.

Eastern Melbourne Primary Health Network (EMPHN) is mapping pain recovery services in our catchment and wants to work with local primary care practitioners to improve patient outcomes. EMPHN will use the mapping to understand service entry points, failure points, and service gaps for consumers at risk of progressing to chronic pain.

Further information: www.emphn.org.au/news-events/news/acute-pain-recovery-journey-consultation.

This survey is for General Practitioners across eastern Melbourne to contribute to the mapping exercise. Your feedback will inform future EMPHN work.

The survey takes approximately 10-12 minutes to complete and is open until 18 March 2021.

If you wish to contribute through a telephone conversation instead, please call or SMS Jo Grzelinska on 0418 595 781 to book a time at your convenience, including before or after work.

EMPHN lead

Susan Rice, Lead Sector Capacity & After Hours, 0419 475 855, susan.rice@emphn.org.au

Lead consultant

Jo Grzelinska, Principal Consultant, 0418 595 781, jo@larter.com.au 

This initiative is funded by the Australian Government under the PHN program.

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* 1. Your role

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* 2. General Practice Location (suburb or postcode)

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* 3. Your practice name (optional)

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* 4. Your name (optional)

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* 5. Would you describe yourself as having a special interest in pain management or pain recovery?

While completing this survey, please keep in mind the following patient groups:
  • patients with (sub)acute pain and specific (sub)acute pain populations [e.g. post-surgery, post-injury, (sub)acute back pain]

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* 6. Current pain recovery care

In the 6 to 12-week period after an acute event, please indicate the regularity with which you implement these treatment approaches to managing and recovering from pain

  Very often Often Sometimes Rarely Never
Referral to physiotherapist
Referral to specialist
Self-management physical therapy
Referral to group exercise program
Pharmacotherapies
Patient education and promotion of relevant consumer resources
Mind-based therapies
Recommending a mobile app
Online consumer pain program
Telemonitoring (supported by wearable devices and / or digital portal)

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* 7. Patients at risk of poorer pain recovery

In your opinion, what poses the greatest risk for patients in eastern Melbourne of progressing to chronic pain states?

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* 8. Amongst your patient groups, which patients are at greater risk of progressing to chronic pain after an acute pain event?

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* 9. How often do you currently screen patients for risk factors for poor pain recovery (including social and psychological)?

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* 10. Are you currently using any risk screening tools to identify patients at risk?

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* 11. Patients at risk can also be identified in other settings. Which other health professionals do you believe would most benefit from education in this area?

Tick any that apply

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* 12. Multidisciplinary care and care pathways

Please rate the availability of pain recovery services locally which offer a biopsychosocial model of pain recovery (focusing on: medical, social and psychological needs)

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* 13. In the past 12 months, which types of pain recovery services have you most frequently referred your patients to?

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* 14. What are the most common barriers faced by you or your patients when looking to access any of these services?

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* 15. What service types would you like to be able to refer to which are not currently accessible locally for your patients?  Please comment why they are not accessible (e.g. do not exist; cost; transport).

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* 16. Do you use HealthPathways (melbourne.healthpathways.org.au) for pain support services?

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* 17. What are some of the challenges you face when navigating the local service system for pain recovery?

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* 18. Care coordination

Comment on any issues relating to coordination of care between health care providers (for example, between the acute setting and primary care or between primary care providers). What could be improved?

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* 19. Do you have access to shared care consultancy services for pain recovery?

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* 20. Do nurses in your practice currently have a role in helping consumers navigate pain services e.g. as part of health assessment or care plans?

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* 21. Patient health literacy

What can the PHN do to help local residents understand pain recovery and chronic pain prevention?

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* 22. Professional development

Have you ever accessed any training on: (a) risk factors for progressing to chronic pain or (b) the biopsychosocial model of pain recovery?

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* 23. Are you part of any formal professional networks in pain recovery?

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* 24. Key recommendations

As a clinician / GP, what are your priority 2 to 3 recommendations to EMPHN to strengthen the support available to primary care providers to reduce patient transition to chronic pain states?

You may consider recommendations for improved recovery, prevention, or innovations in the primary care setting which may include ideas for quality improvement and health system support.

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* 25. Final comments

Please share any final comments that you think we should take into consideration. Is there anyone else in the primary care and / or pain recovery sector in eastern Melbourne that you recommend we should invite to this consultation?

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* 26. Would you like to be followed up with a telephone call to discuss any of these questions in more detail?

WE THANK YOU FOR YOUR TIME AND INSIGHTS

Further information:

www.emphn.org.au/news-events/news/acute-pain-recovery-journey-consultation

Jo Grzelinska, Larter Consulting, jo@larter.com.au, 0418 595 781
Susan Rice, EMPHN, susan.rice@emphn.org.au, 0419 475 855

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