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Chronic pain care: time for excellence
  1. Laura Heath1,2 and
  2. Andrew Philip2
  1. 1Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
  2. 2Primary Care Development Corporation, New York, New York, USA
  1. Correspondence to Dr Laura Heath; laura.heath{at}


The current health system aims to cope with the epidemic of chronic pain. The narrative urgently needs to be reset to one that strives for excellence. This reflection illustrates what excellence may look like and also highlights where system biases are preventing positive change from occurring.

  • chronic pain
  • primary health care
  • health care quality, access, and evaluation
  • physicians, primary care

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  • Twitter @laurahheath, @APhilipPsych

  • Contributors LHH and AP conceived the idea. LHH wrote the manuscript with support at all stages from AP.

  • Funding LHH received assistance from The Margaret E. Mahoney Fellowship Program of The New York Academy of Medicine.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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