Health Care Utilization After Interdisciplinary Chronic Pain Treatment: Part I. Description of Utilization of Costly Health Care Interventions

Donald D Mcgeary, Todd Seech, Alan L Peterson, Cindy A. Mcgeary, Robert J. Gatchel, Catherine Vriend

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Chronic musculoskeletal pain (CMP) is a significant burden for chronic pain sufferers, their medical and allied health treatment providers, and the U.S. medical system. The U.S. military has seen a significant increase in CMP with increased injuries stemming from military operations in Iraq and Afghanistan, and advances in care for CMP are sorely needed. Poor chronic pain treatment in the military has led to high levels of costly health care utilization with related costs estimated in billions of dollars. The functional occupational restoration treatment (FORT) trial, funded by the Congressionally Directed Medical Research Programs (Department of Defense), was the first formal, randomized trial of a novel interdisciplinary management program for CMP among active duty service members. Excellent clinical outcomes at posttreatment and long-term follow-up have been reported elsewhere. This paper examined patterns of health care utilization among FORT study participants for a period of 1 year before and after the study intervention or yoked, 3-week control period. We examined the military's Armed Forces Health Longitudinal Technology Application, which went online in 2004, to identify costly health visits and procedures consumed by study completers. We then compared utilization rates between those who received the interdisciplinary FORT treatment and those who were randomized to treatment as usual. Our analyses revealed significant between-group differences at posttreatment (controlling for pretreatment intervention use), with FORT participants receiving significantly fewer procedures including emergency department intervention, injections, and radio frequency nerve ablations. This paper precedes a follow-up study of mediating factors for health care utilization after interdisciplinary treatment.

Original languageEnglish (US)
Pages (from-to)215-228
Number of pages14
JournalJournal of Applied Biobehavioral Research
Volume17
Issue number4
DOIs
StatePublished - Dec 2012

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Patient Acceptance of Health Care
Chronic Pain
pain
utilization
health care
restoration
Musculoskeletal Pain
Military
Therapeutics
health
medical research
Afghanistan
Iraq
dollar
military
radio
Biomedical Technology
Health
Radio
Health Status

ASJC Scopus subject areas

  • Social Sciences (miscellaneous)
  • Clinical Psychology
  • Experimental and Cognitive Psychology
  • Cultural Studies

Cite this

Health Care Utilization After Interdisciplinary Chronic Pain Treatment : Part I. Description of Utilization of Costly Health Care Interventions. / Mcgeary, Donald D; Seech, Todd; Peterson, Alan L; Mcgeary, Cindy A.; Gatchel, Robert J.; Vriend, Catherine.

In: Journal of Applied Biobehavioral Research, Vol. 17, No. 4, 12.2012, p. 215-228.

Research output: Contribution to journalArticle

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