Improving chronic pain patients’ self-efficacy in pain management and reduce emergency department visits
Care Continuum
Care Process & Redesign
National Healthcare Innovation and Productivity Medals
SingHealth
31 December 2024
Reduce emergency department visits and hospital admissions for chronic pain patients through a telephonic nurse-led support. The intervention successfully reduced hospital reliance and improved self-efficacy in pain management.
Year Submitted: 2024
Published Date: 31 December 2024
Tags: Care Continuum, Care Process ＆ Redesign, Chronic Care, Value Based Care, Patient Reported Outcome Measures, Patient Reported Experience Measures
About this Content
Aims
Reduce emergency department visits and hospital admissions for chronic pain patients through a telephonic nurse-led support program.
Background
Patients with chronic pain frequently visit hospitals due to pain crises, limited mobility, and poor treatment adherence. The initiative builds on a 2019 virtual pain clinic project.
Methods
Implemented a six-month nurse-led telephonic support service, tracking pain severity, medication adherence, and hospital visit frequency.
Results
Pain severity improved, with 7.4% reporting a shift from moderate to mild pain. ED visits and hospital admissions significantly reduced post-intervention.
Conclusion
The intervention successfully reduced hospital reliance and improved self-efficacy in pain management. Future expansion plans include community partnerships.
Lessons Learnt
Consistent follow-up, medication education, and pain coaching improve patient confidence and self-management.
Keywords
Chronic Pain Management, Health and Social Care, Virtual Care, Pain Medicine, Self-Efficacy
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | SingHealth |
Organization(s) Involved | Singapore General Hospital |
Platform(s) | National Healthcare Innovation and Productivity Medals |
Healthcare Professional Group(s) | Nursing, Medical |
Applicable Specialty or Discipline | Emergency Medicine, Neurology |
Project Lead(s) | Elizabeth Tan Sein Jieh |
Project Member(s) | Rachel Lee Min Qi |
Connect with this contributor!
SSN Rachel Lee Min Qi - rachel.lee.m.q@sgh.com.sg