Background:
Chronic pain is one of the most widely recognized, disabling, and expensive health problems in Canada. Interdisciplinary multimodal
pain management is effective in helping
chronic pain patients lessen symptoms and reclaim functionality, but most patients lack access to such treatments. Aim: The aim of this study was to describe the development and implementation of a publicly funded and patient-centered model of care in the community. Methods: The study was set in the
Pain & Wellness Centre (PWC) in Vaughan, the only community-based
chronic pain clinic in Ontario funded by the Ontario Ministry of Health and
Long-Term Care (MOHLTC) as a demonstration project of a template for similar future community clinics. The study is descriptive, including a brief review of the Ontario comprehensive
pain strategy framework and an overview of the PWC and the process involved in the development of an interdisciplinary
pain program (
IDP), based on the biopsychosocial model of
chronic pain management. Results: During a 2.5-year period, the PWC has offered 1055 new patient medical consultations and 1921 follow-up visits and admitted 242 patients in the
IDP program (demonstrating significant success in patient outcomes at the 3-month exit from the program). It established robust outcomes research, organized educational programs for
pain trainees, and cultivated a collaborative relationship with the Toronto Academic
Pain Medicine (TAPMI) network and the community at large. Conclusions: This demonstration program has shown the feasibility and applicability of the principles of the MOHLTC comprehensive
pain strategy, providing an effective, evidence-based, and accountable approach to
chronic pain diagnosis and management in the community.