From (Ontario Ministry of Health and Long-Term Care) policy to implementation: A retrospective look at a community-based patient-centered model of care for chronic pain.

23 The prevalent paradigm in Canadian pain medicine is under pressure, the need for evolution is clear, and the pivotal issue is eloquently stated in the McMaster’s evidence brief: While there may be significant costs associated with preventing and managing chronic pain (many of which are not covered by provincial health insurance plans), failing to do so using evidence-based approaches may incur even greater costs.

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