4 th French national Program of actions for pain management

4th French national Program of actions for pain management

M.Lantéri-Minet & A. Serrie

Société Française d’Etude et de Traitement de la Douleur

Disclosure Statement of conflict of interest in the context of the subject of this presentationWithin the past 12 months, I or my spouse/partner have had following financial interest/arrangement(s) or affiliation(s)

below.

Affiliation/Financial Relationship Company

• Support for travel ……………………• Honoraria for lectures ……………………• Honoraria for advisory board activities ……………………• Participation in clinical trials ……………………• Research funding ……………………• Financial shares and options ……………………• Participation in project team French Health Min.

4th French Program for pain management /Background


Three previous national pain programs 1998 / 2000 : first program 2002 / 2005 : second program 2006 / 2010 : third program


Three previous national programs 1998 / 2000 : first program 2002 / 2005 : second program 2006 / 2010 : third program

Third program evaluation by High Council of Public Health (HCPS) pain management conditions vs. pain management itself hospital vs. primary care weak support of some risk populations (ex. pain in mental health) financial liabilities of 21.7 m€ but weak tracking weak cooperation between parts of French health authorities

4th French Program for pain management /Project team


Objectives propose a new pain program to the French Health Minister

below.


Objectives propose a new pain program to the French Health Minister

Composition : DGOS (pilot) Others directions of French health ministry (DGS, DSS, DGCS) SFETD (MLM) SFAR Associate pain professors (AS)

below.

4th French Program for pain management /Methodology


Background 3rd pain program evaluation performed by HCSP


Background 3rd pain program evaluation performed by HCSP

Consultations (from Nov.11 to May 12): with all professional heath and pain patients organizations to determine future actions to increase quality in pain management considering always three aspects of pain management:

acute pain

procedural pain

chronic pain

4th French Program for pain management /Five priorities


Increase quality of pain management in primary care



Promote health professionals’ and pain patients’ education




Develop pain management in mental health field





Focus on pain patients and recognize patient expert status





Focus on pain patients and recognize patient expert status

Promote clinical and translational research in pain

4th French Program for pain management /Questions


Actions included in each priority ? current work of the project team validation of French Minister



Agenda ? delay due to French elections (President and Parliament) publication: Sep. 12 ?




Budget ? new vs. redistribution ?




Budget ? new vs. redistribution ?

Duration ? 3 or 5 y ?

4th French Program for pain management /In parallel: Identification of pain structures


Action of DGOS


Action of DGOS

Two levels organization pain consultation pain center (specific expertises / teaching and research involvement)


Action of DGOS

Two levels organization pain consultation pain center (specific expertises / teaching and research involvement)

In each French region under ARS (regional health agency) authority with regional coordination (SFETD involvement)


Action of DGOS

Two levels organization pain consultation pain center (specific expertise / teaching and research involvement)

In each French region under ARS (regional healh agency) authority with regional coordination (SFETD involvement)

In practice more than 200 structures with a special financial support (~ 60 m€ / y)

4 th French national Program of actions for pain management

Documents

quality of pain management

pain program evaluation

new pain program

aspects of pain management

pain managementm

pain patients education

priorities4th french

pain patients organizations