Pain and Addiction in Specialty and Primary Care: The Bookends of a Crisis.

Joseph R Schottenfeld Seth A Waldman Abbe R Gluck Daniel G Tobin

J Law Med Ethics

Joseph Schottenfeld, is a member of the Yale Law School class of 2019. Abbe R. Gluck, J.D., is Professor of Law and Faculty Director of the Solomon Center for Health Law and Policy at Yale Law School. She earned her J.D. from Yale Law School. Seth A. Waldman, M.D., is Director, Division of Pain Management, Department of Anesthesiology, Critical Care & Pain Management, at the Hospital for Special Surgery in New York. He completed his his internships in surgery and medicine at Mount Sinai Medical School - Beth Israel Medical Center, his residency training in anesthesiology at Harvard Medical School - Beth Israel Hospital, and his fellowship training in pain management at Massachusetts General Hospital. Daniel G. Tobin, M.D., F.A.C.P., is an Associate Professor of Medicine at the Yale University School of Medicine (New Haven, CT) and the Medical Director for the Yale-New Haven Hospital SRC Adult Primary Care Center. He earned his medical degree from Cornell University Medical College (New York, NY) before completing his Internal Medicine Internship and Residency at Yale-New Haven Hospital.

Published: June 2018

Specialists and primary care physicians play an integral role in treating the twin epidemics of pain and addiction. But inadequate access to specialists causes much of the treatment burden to fall on primary physicians. This article chronicles the differences between treatment contexts for both pain and addiction - in the specialty and primary care contexts - and derives a series of reforms that would empower primary care physicians and better leverage specialists.

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http://dx.doi.org/10.1177/1073110518782923	DOI Listing

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