Direção Regional da Saúde - Plano Regional de Saúde 2014-2016 (Regional Health Directorate - Health Regional Plan 2014 - 2016)


Maria Teresa Flor-de-Lima, MD, MSc


From 2009 to 2013 the Department of Health of the Azorean Autonomic Government organized a Regional Program for Pain Control, considered a Good Practice to treat better pain of Azorean people (260.000 inhabitants in nine islands in the Atlantic). It was classified as a Good Practice at national and international level; the major objectives were: organization, education and information, supported by the 5 principles of pain control:

1-      Pain as a subjective symptom

2-      Pain registered as the 5th vital sign

3-      Need of multidisciplinary team to treat complex chronic pain patients

4-      To treat pain is an human right

5-      The health Institutions have the obligation to support pain control


In the 2014-2016 Regional Health Plan, the continuity of the strategies defined was directed to better education of General Practitioners and information of all health professionals and public about the strategies to prevent, to treat chronic pain and to reduce the social impact of pain.

Now, till 2020, the health care providers are aware of the impact of pain in persons, families and the own society and extended the strategies.

We consider Pain as a quality indicator for health systems and found in the SIP platform the place to:

  1. address the societal impact of pain
  2. study the impact of pain on labour and employment
  3. disseminate models and best practices in pain policy
  4. exchange knowledge, monitor services and outcomes in order to improve better pain treatment.

So, we endorse SIP 2017 and the aims proposed.


Maria Teresa Flor-de-Lima, MD, MSc

Phone:  (+351) 962360430 


  1. Societal Impact of Pain (SIP)
  2. SIP Platform
  3. Endorsement Detail
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