4 th French national Program of actions for pain management

1. 4th French national Program of actions for pain management M.Lantéri-Minet & A. Serrie SociétéFrançaised’Etude et de Traitement de la Douleur

2. Disclosure Statement of conflict of interest in the context of the subject of this presentation Within the past 12 months, I or my spouse/partner have had following financial interest/arrangement(s) or affiliation(s) below. Affiliation/Financial Relationship Company • Support for travel …………………… • Honoraria for lectures …………………… • Honoraria for advisory board activities…………………… • Participation in clinical trials …………………… • Research funding …………………… • Financial shares and options …………………… • Participation in project team French Health Min.

3. 4th French Program for pain management /Background

4. 4th French Program for pain management /Background • Three previous national pain programs • 1998 / 2000 : first program • 2002 / 2005 : second program • 2006 / 2010 : third program

5. 4th French Program for pain management /Background • Three previous national programs • 1998 / 2000 : first program • 2002 / 2005 : second program • 2006 / 2010 : third program • Third program evaluation by High Council of Public Health (HCPS) • pain management conditions vs. pain management itself • hospital vs. primary care • weak support of some risk populations (ex. pain in mental health) • financial liabilities of 21.7 m€ but weak tracking • weak cooperation between parts of French health authorities

6. 4th French Program for pain management /Project team

7. 4th French Program for pain management /Project team • Objectives • propose a new pain program to the French Health Minister below.

8. 4th French Program for pain management /Project team • Objectives • propose a new pain program to the French Health Minister • Composition : • DGOS (pilot) • Others directions of French health ministry (DGS, DSS, DGCS) • SFETD (MLM) • SFAR • Associate pain professors (AS) below.

9. 4th French Program for pain management /Methodology

10. 4th French Program for pain management /Methodology • Background • 3rd pain program evaluation performed by HCSP

11. 4th French Program for pain management /Methodology • Background • 3rd pain program evaluation performed by HCSP • Consultations (from Nov.11 to May 12): • with all professional heath and pain patients organizations • to determine future actions to increase quality in pain management • considering always three aspects of pain management: acute pain procedural pain chronic pain

12. 4th French Program for pain management /Five priorities

13. 4th French Program for pain management /Five priorities • Increase quality of pain management in primary care

14. 4th French Program for pain management /Five priorities • Increase quality of pain management in primary care • Promote health professionals’ and pain patients’ education

15. 4th French Program for pain management /Five priorities • Increase quality of pain management in primary care • Promote health professionals’ and pain patients’ education • Develop pain management in mental health field

16. 4th French Program for pain management /Five priorities • Increase quality of pain management in primary care • Promote health professionals’ and pain patients’ education • Develop pain management in mental health field • Focus on pain patients and recognize patient expert status

17. 4th French Program for pain management /Five priorities • Increase quality of pain management in primary care • Promote health professionals’ and pain patients’ education • Develop pain management in mental health field • Focus on pain patients and recognize patient expert status • Promote clinical and translational research in pain

18. 4th French Program for pain management /Questions

19. 4th French Program for pain management /Questions • Actions included in each priority ? • current work of the project team • validation of French Minister

20. 4th French Program for pain management /Questions • Actions included in each priority ? • current work of the project team • validation of French Minister • Agenda ? • delay due to French elections (President and Parliament) • publication: Sep. 12 ?

21. 4th French Program for pain management /Questions • Actions included in each priority ? • current work of the project team • validation of French Minister • Agenda ? • delay due to French elections (President and Parliament) • publication: Sep. 12 ? • Budget ? • new vs. redistribution ?

22. 4th French Program for pain management /Questions • Actions included in each priority ? • current work of the project team • validation of French Minister • Agenda ? • delay due to French elections (President and Parliament) • publication: Sep. 12 ? • Budget ? • new vs. redistribution ? • Duration ? • 3 or 5 y ?

23. 4th French Program for pain management /In parallel: Identification of pain structures

24. 4th French Program for pain management /In parallel: Identification of pain structures • Action of DGOS

25. 4th French Program for pain management /In parallel: Identification of pain structures • Action of DGOS • Two levels organization • pain consultation • pain center (specific expertises/ teaching and research involvement)

26. 4th French Program for pain management /In parallel: Identification of pain structures • Action of DGOS • Two levels organization • pain consultation • pain center (specific expertises/ teaching and research involvement) • In each French region • under ARS (regional health agency) authority • with regional coordination (SFETD involvement)

27. 4th French Program for pain management /In parallel: Identification of pain structures • Action of DGOS • Two levels organization • pain consultation • pain center (specific expertise / teaching and research involvement) • In each French region • under ARS (regional healh agency) authority • with regional coordination (SFETD involvement) • In practice • more than 200 structures • with a special financial support (~ 60 m€ / y)