National provision of acute pain services

The New Zealand national junior doctors' strike: implications for the provision of acute hospital medical services.

The New Zealand junior doctors' strike provided an opportunity to consider strategies that might be employed to overcome the international shortage of junior doctors. This article reports the experience of the emergency department (ED) and internal medicine (IM) services at Wellington Hospital during the national strike, in which medical services were primarily provided by specialist consultant...

Provision of laboratory services.

Waiting in pain: a systematic investigation into the provision of persistent pain services in Australia.

OBJECTIVES To document and describe outpatient persistent pain management services in Australia. DESIGN, PARTICIPANTS AND SETTING Systematic survey conducted between 1 December 2008 and 31 January 2010 of 57 services providing outpatient care to adult clients with persistent pain, plus five specialised paediatric services throughout Australia. MAIN OUTCOME MEASURES Service structure, includ...

Challenge of improving postoperative pain management: case studies of three acute pain services in the UK National Health Service.

BACKGROUND Previous national survey research has shown significant deficits in routine postoperative pain management in the UK. This study used an organizational change perspective to explore in detail the organizational challenges faced by three acute pain services in improving postoperative pain management. METHODS Case studies were conducted comprising documentary review and semi-structure...

Rhetoric and reality on acute pain services in the UK: a national postal questionnaire survey.

BACKGROUND The study aimed to explore the extent to which NHS acute pain services (APSs) have been established in accordance with national guidance, and to assess the degree to which clinicians in acute pain management believe that these services are fulfilling their role. METHODS A postal questionnaire survey addressed to the head of the acute pain service was sent to 403 National Health Ser...