Análisis de reparto del modelo ONU sobre la doble tributación

Thank you for taking the time to do this survey. As part of this research we are trying to identify what guidelines you use to manage patients with pain, how you would treat patients in a number of given scenarios and what barriers you think exist to the optimal management of pain and how these could be overcome.

This survey should take no more than 10 minutes to complete. If you decide that you do not want to complete this study, please exit the survey and your results will not be included in the final analysis. There are five Coles-Myer vouchers available valued at $100 each, if you wish to put your name in to the draw for one of these vouchers, please include your name and email address at the end. These details will not be linked with your response to the survey.

If you have any questions regarding this study, please do not hesitate to contact: Felicity Veal (6226 2312; [email protected]) or

Associate Professor Luke Bereznicki ([email protected]).

This project has been approved by the Tasmanian Health and Medical Human Research Ethics Committee. If you have concerns or complaints about the conduct of this project, please contact the Executive Officer of the HREC (Tasmania) Network on (03) 6226 6254 or email

[email protected]. The Executive Officer is the person nominated to receive complaints from research participants. Please quote ethics reference number H0012833.

What guides decision making about pain management in general practice? How many years have you been working in general practice?

On average, how many patients would you see each week with the following types of pain? Number of patients, on average, per week

- Acute pain

- Persistent non-malignant pain

- Neuropathic pain

- Persistent malignant pain

When managing patients with persistent/chronic pain which of the following guidelines do you use?

Therapeutic Guidelines WHO analgesic ladder

Hunter New England Pain Guidelines

Quick Clinical Guideline for the use of opioids in chronic non-malignant pain (WA Govt) RACGP guideline for the non-surgical management of hip and knee osteoarthritis APSOC Pain in residential aged care facilities - Management strategies 2005 NSW Therapeutic Assessment Group - Low Back Pain

NSW Therapeutic Assessment Group - Preventing and managing problems with opioids prescribing for chronic non cancer pain

Other:

Do you use any of the following strategies when prescribing opioids? Discussion around pain management expectations

Opioid Trials of ~8 weeks

Urine drug screening to monitor compliance and inappropriate drug taking Referral for cognitive behavioural therapy

Referral for physiotherapy

Regular reviews of the 5As (activity; adverse events; aberrant behaviour; affect; analgesia) Other:

Please indicate how you think patients generally take their prescribed analgesics for ACUTE pain

Less than _prescribed As prescribed More than _prescribed

Paracetamol NSAIDs

Regularly prescribed opioids

As required opioids

Please indicate how you think patients generally take their prescribed analgesics for CHRONIC/PERSISTENT pain

Less than prescribed As prescribed More than prescribed

Paracetamol NSAIDs

Regularly prescribed opioids

For those patients who are non-compliant with analgesics, what do you think are the major reasons for non-compliance?

Poor analgesic effect Misuse/diversion Tablet burden

Reserving the analgesics for severe pain Fear of addiction

Fear that it won’t work if they use it too often Fear of pain

Pain catastrophising Other:

Which of the following do you think are the major barriers to the management of persistent pain in general practice?

Guidelines are difficult to use

Lack of supporting evidence surrounding analgesics Lack of drug efficacy

Side effect profile/risk of drugs

Concern regarding misuse/diversion of analgesia Limited government funding of physiotherapy Difficult access to psychologists

Waiting times to access pain clinics Patient expectations of pain management Diagnosis of pain causing condition

Limited options for neuropathic pain on the PBS Other:

Appendix 8: Management of postoperative pain - a survey of anaesthetists’ opinions

Thank you for taking the time to do this survey. As part of this research we are trying to identify what factors affect your clinical decision making and what barriers you think exist to the optimal management of acute postoperative pain and how these could be overcome.

This survey should take no more than 5-10 minutes to complete. If you decide that you do not want to complete this study, please exit the study and your results will not be included in the final analysis. There are five Coles-Myer vouchers available valued at $100 each, if you wish to put your name in to the draw for one of these vouchers, please include your name and email address at the end. These details will not be linked with your response to the survey.

If you have any questions regarding this study, please do not hesitate to contact: Felicity Veal (6226 2312; [email protected]) or

Associate Professor Luke Bereznicki ([email protected]).

This project has been approved by the Tasmanian Health and Medical Human Research Ethics Committee. If you have concerns or complaints about the conduct of this project, please contact the Executive Officer of the HREC (Tasmania) Network on (03) 6226 6254 or email

[email protected]. The Executive Officer is the person nominated to receive complaints from research participants. Please quote ethics reference number H0012833.

There are 12 questions in this survey

A survey of anaesthetists’ opinion about the management and barriers to optimal pain management

Where do you work?

Public Hospital - Consultant Public Hospital - Registrar Private Hospital - Consultant Private Hospital - Registrar

Both a Public and Private Hospital - Consultant Both a Public and Private Hospital - Registrar How long have you been working in anaesthetics?