Perspectives of Implementing the Biopsychosocial Model to Treat Chronic Musculoskeletal Pain in Primary Health Care

Abstract

Aim: To propose actions to organize healthcare of people with chronic musculoskeletal pain (CMP) into a biopsychosocial approach. Materials & methods: Narrative overview with the Brazilian Unified Health System as archetype to propose the implementation of a biopsychosocial approach to manage CMP. Results: Healthcare systems often use biomedical model for CMP management, which may explain the increase of demand and costs of CMP management. This is significant in Primary Health Care, where the healthcare professionals have difficulty with evaluating and treating psychosocial factors. Conclusion: The present perspective selected some actions that are part of the common procedures in Brazil’s Primary Health Care and proposed a protocol of amplified care for CMP management in all levels: orientation, health promotion, prevention and rehabilitation.

Keywords::

• biopsychosocial
• education
• health professional
• health service
• musculoskeletal pain
• neuroscience

Acknowledgments

Part of this manuscript was presented at the 17th World Congress on Pain, held on 12–16 September 2018 at Boston, MA, USA; title ‘Perspectives of Implementing Pain Neuroscience Education as Therapeutic Intervention for Chronic Musculoskeletal Pain in Primary Health Care’.

Financial & competing interests disclosure

This study was partially financed by Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), finance code 001. The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed.

No writing assistance was utilized in the production of this manuscript.

Additional information

Funding

This study was partially financed by Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), finance code 001. The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed. No writing assistance was utilized in the production of this manuscript.