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Article

Medico-Economic Study of Pain in an Emergency Department: A Targeted Literature Review

by
Claude Dussart
1,2,*,
Julien Gelas
3,
Loïc Geffroy
2,
Humbert de Fréminville
2 and
Virginie-Eve Lvovschi
4,5
1
Central Pharmacy, Lyon Public Hospices, Lyon, France
2
Systemic Health Pathway Laboratory, EA 4129, University Claude Bernard Lyon 1, Lyon, France
3
Pharmacy Department, Military Teaching Hospital, Lyon, France
4
Emergency Department, CHRU Charles Nicolle, Rouen, France
5
INSERM U 1073, Universite de Rouen Normandie, Rouen, France
*
Author to whom correspondence should be addressed.
J. Mark. Access Health Policy 2019, 7(1), 1659099; https://doi.org/10.1080/20016689.2019.1659099
Submission received: 18 March 2018 / Revised: 27 March 2019 / Accepted: 29 March 2019 / Published: 13 September 2019

Abstract

Background: Pain management in emergency departments is a complex objective. The absence of a care pathway or a high level of activity complicates diagnostic or analgesic therapeutic strategies. Medical innovation can impact both individual practices and the functioning of an emergency department. Objective: We then wanted to understand how medico-economic studies on pain were carried out in an emergency department. Study design: We reviewed the literature of the last 20 years (between 1998 and 2018). Setting: Of 846 titles screened, a total of 268 abstracts qualified for further screening, and 578 titles were excluded. A total of 14 studies qualified for inclusion in the review. Studies on medicoeconomics in an emergency department are very diverse. None of the methods used are identical; the studies differ in their very nature (prospective, retrospective, cost-effectiveness, etc.) and the determination of emergency room costs differs according to the part of the world studied. In addition, organizational impact is rarely measured, although it is an essential dimension for choosing or not a medical innovation.
Keywords: medico-economic; evaluation; innovation; emergency department; pain management medico-economic; evaluation; innovation; emergency department; pain management

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MDPI and ACS Style

Dussart, C.; Gelas, J.; Geffroy, L.; de Fréminville, H.; Lvovschi, V.-E. Medico-Economic Study of Pain in an Emergency Department: A Targeted Literature Review. J. Mark. Access Health Policy 2019, 7, 1659099. https://doi.org/10.1080/20016689.2019.1659099

AMA Style

Dussart C, Gelas J, Geffroy L, de Fréminville H, Lvovschi V-E. Medico-Economic Study of Pain in an Emergency Department: A Targeted Literature Review. Journal of Market Access & Health Policy. 2019; 7(1):1659099. https://doi.org/10.1080/20016689.2019.1659099

Chicago/Turabian Style

Dussart, Claude, Julien Gelas, Loïc Geffroy, Humbert de Fréminville, and Virginie-Eve Lvovschi. 2019. "Medico-Economic Study of Pain in an Emergency Department: A Targeted Literature Review" Journal of Market Access & Health Policy 7, no. 1: 1659099. https://doi.org/10.1080/20016689.2019.1659099

APA Style

Dussart, C., Gelas, J., Geffroy, L., de Fréminville, H., & Lvovschi, V. -E. (2019). Medico-Economic Study of Pain in an Emergency Department: A Targeted Literature Review. Journal of Market Access & Health Policy, 7(1), 1659099. https://doi.org/10.1080/20016689.2019.1659099

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