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SIP 2017 - Presentation & Statement

Dr. Paloma Casado – Spanish Ministry of Health, Social Services and Equality, Spain

"Pain is a priority health problem because of its frequency, its impact in person life´s quality, its high societal and economic impact, so that a whole biopsychosocial approach is required. It also requires an integrated and coordinated health care system. Managing pain is essential to ensure a correct healthcare quality on chronic diseases."


Dr. Paloma Casado
Deputy Director of Quality and Cohesion
Spanish Ministry of Health, Social Services and Equality

As part of this Strategy, various projects and areas of work are being developed in order to carry out the implementation of the Strategy. For instance, we can highlight a Project of Stratification of the Population, A Network of Health Schools for Citizens, The Chronic diseases management project ( an IT tool for the clinical decision support which includes managing of pain as principal task) and a Framework document for the Improvement of pain in the NHS. Wichwas set on 2014. Having this framework in our NHS is essential in a decentralized system as our healthcare system is, and it must ensure: healthcare quality in managing pain, equity on accessibility and procedure’s efficiency. Improving quality of care of patients with pain in the NHS, contributes to improve people’s quality of life.

The d includes: Acute pain, non-oncological chronic pain, Oncological chronic pain, surgical pain, Pain related to diagnostic and therapeutic procedures, in adults and so in children.

This is a framework document that contains such strategic lines, objectives and recommendations in order to promote correct assessment of pain, to improve early detection and prevention of pain, and to encourage integrated care of people with pain, in order to provide a biopsychosocial approach.

The Spanish framework document to address pain is structured into four strategic lines:

1. Mainstreaming
a. Pain as a priority in the frame of strategies and health policies
b. Integrated approach
c. Patient’s Empowerment
d. Reducing inequalities
e. Training and research

2. Prevention
a. Prevention of pain and its chronification
b. Promotion of healthy lifestyles
c. Chronic pain risk identification
d. Pain prevention on diagnostic and treatment procedures
e. Systematized assessment of pain: 5th sign
f. Patient centered healthcare

3. Treatment: Patient safety and Therapeutic appropriateness

4. Coordination and Continuity of care

Paloma Casado Durández, MD specialist on Clinical Chemistry and Laboratory Medicine, is a Health Quality Management expert with 20 years of experience, and she has managed as Medical Director different Hospitals in Madrid. Since 2014 she is working for the Spanish Government as Deputy Director of Quality and Cohesion in the Ministry of Health, Social Services and Equality. She also participates in different Masters and professional events as Quality instructor and speaker.