Setting
Adequate interprofessional training, cross-disciplinary communication, and integrated care can help minimize fragmented care delivery.
Barriers
Across professions, some clinicians may have more time to devote to training and provision of care than others. For example, one study noted that physicians in their study had significantly less time allotted by their facility to devote to training, and thus received less interprofessional training than other clinicians.
Effective coordination of care and communication among clinicians of various disciplines can prove to be a challenge. Disciplines may have differing standards for documentation and communication of pain-related diagnoses and treatment plans (e.g., describing symptom-based or pain diagnoses), which can serve as a barrier for effective communication.
As a means to reduce up-front costs associated with interdisciplinary care, some payers may send their patients to clinicians outside of the interdisciplinary team, which can lead to fragmented, less-efficacious care.
Facilitators
Clinical champions across a healthcare system (e.g., primary care providers) can help optimize the delivery model of interdisciplinary pain care. This approach can ensure the model integrates well into everyday practice and optimizes the engagement of clinicians across a healthcare system.