How Can the Intractable Problem of Chronic Musculoskeletal Pain (CMP) Be Effectively Managed? The Need for a Well-Integrated Systems Approach Using what we already know, there is a tremendous opportunity for greatly improving care for persons with CMP. This will require coordinated engagement by all parts of the complex “system” of care, including patients, clinicians, payers, educators, and regulators. The most fertile settings for the development and implementation of innovative approaches to improving care for CMP will likely be integrated healthcare delivery systems that have more control over changes affecting multiple components of the larger system and are better able to coordinate these changes. Among such systems, the VA seems particularly well-positioned to design, evaluate, and implement innovative strategies for improving care for CFP. The VA’s State of the Art Conference on Non-pharmacological approaches to Chronic Musculoskeletal Pain Management described in this issue provides a promising first step toward developing systems approaches to CMP that could serve as models for other health care systems.
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