# Implementation of Integrated Care of Patients with Non-Cancer Chronic Pain in Chile: Advances and Challenges

**Authors:** Paula Zamorano, Teresita Varela, Isidora Salvatierra, Leonardo Silva, Víctor Lucero, Denisse Figueroa, Sheila Salazar, Pia Casas, Nidia Castro, Pablo Montecinos, Francisco Salinas

PMC · DOI: 10.5334/ijic.8970 · International Journal of Integrated Care · 2025-04-28

## TL;DR

This paper discusses the progress and challenges in implementing integrated care for chronic non-cancer pain in Chile, highlighting pilot programs and the need for broader adoption.

## Contribution

The paper presents insights from pilot programs and outlines challenges in scaling integrated care for chronic non-cancer pain.

## Key findings

- Significant advances in guidelines and laws have not translated to widespread clinical implementation.
- Three pilot programs have been implemented, offering lessons for future scaling.
- Barriers remain in integrating chronic pain care into clinical practice.

## Abstract

The impact of chronic non-cancer pain on individuals is complex, multidimensional, and with healthcare needs that challenge fragmented healthcare systems. There have been significant advances in generating scientific evidence, ministerial guidelines, and even laws in Chile. However, there is still a considerable gap that remains in the implementation in clinical practice. Despite this, clinical teams have implemented three pilot programs in different countries. This perspective discusses these pilots, their implementation process, acquired knowledge, and the challenge of advancing toward scaling up.

## Full-text entities

- **Diseases:** Non (MESH:C580335), Cancer (MESH:D009369), pain (MESH:D010146), Chronic Pain (MESH:D059350)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## References

11 references — full list in the complete paper: https://tomesphere.com/paper/PMC12047643/full.md

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Source: https://tomesphere.com/paper/PMC12047643