Abstract

IGLESIAS ARRABAL, C. et al. Multidisciplinary consensus document on the implementation of an Integrated Healthcare Process for Fibromyalgia in the area served by Hospital Universitario de Puerto Real. Rev. Soc. Esp. Dolor [online]. 2011, vol.18, n.4, pp.241-248. ISSN 1134-8046.

Introduction: an integrated healthcare process for fibromyalgia -Proceso Asistencial Integrado (PAI) Fibro-mialgia- was published in 2005 in Andalusia to provide healthcare professionals with a valid protocol for the management of patients with this disease. In 2009 a decision was made to write a document allowing PAI to be adapted to the healthcare area served by Hospital Universitario de Puerto Real in order to facilitate its implementation. Objective: to develop a consensus document on the implementation of PAI Fibromialgia in the healthcare area served by Hospital Universitario de Puerto Real by representatives of the major healthcare specialties involved in the diagnosis and treatment of this condition, as well as representatives of patient associations. Method: the document published by Junta de Andalucía on the PAI Fibromialgia project, and the new aspects of this disease in the current medical literature were all reviewed in an attempt to adjust this process within the actual practice of healthcare centers served by Hospital Universitario de Puerto Real. Some common consensus techniques were used (nominal group and brainstorming). Conclusion: the PAI Fibromialgia paper edited by Junta de Andalucía is a document that, while relevant, cannot be implemented as such within the actual practice of healthcare centers served by Hospital Universitario de Puerto Real. Based on this paper a process implementation document was developed with the aid and consensus of in-hospital specialized care and primary care specialists, as well as fibromyalgia patient associations. This document is now allowing the gradual implementation of PAI Fibromialgia in the healthcare area served by Hospital Universitario de Puerto Real.

Keywords : Fibromyalgia; Pain; Multidisciplinary management; Implantation; Implementation.

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