The burden of pain in low- and middle income countries (LMICs) is high and expected to rise further with their ageing populations. Multidisciplinary pain management approaches based on the biopsychosocial model of pain have been shown to be effective in reducing pain-related distress and disability, but these approaches are still lacking in many LMICs due to various factors, including low levels of awareness about the role of multidisciplinary pain clinics, lack of prioritisation for pain services, and lack of healthcare professionals trained in pain management. The International Association for the Study of Pain (IASP) has several educational programs to promote multidisciplinary pain management in LMICs, in the form of education grants, pain fellowships, pain camps and, most recently, the development of a Multidisciplinary Pain Centre Toolkit. This article describes the various educational programs, focusing on Southeast Asia, that demonstrate how targeted educational programs which include skills training, follow-up and mentorship, can translate into the formation of new multidisciplinary pain management services in settings with limited resources.

中文翻译：

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在低收入和中等收入国家促进多学科疼痛管理 - 挑战和成就。


低收入和中等收入国家 （LMIC） 的疼痛负担很高，预计随着人口老龄化，疼痛负担将进一步增加。基于疼痛生物心理社会模型的多学科疼痛管理方法已被证明可有效减少与疼痛相关的痛苦和残疾，但由于各种因素，包括对多学科疼痛诊所的作用认识水平低、缺乏对疼痛服务的优先考虑以及缺乏受过疼痛管理培训的医疗保健专业人员，许多低收入和中等收入国家仍然缺乏这些方法。国际疼痛研究协会 （IASP） 以教育补助金、疼痛奖学金、疼痛营以及最近开发多学科疼痛中心工具包的形式，在中低收入国家开展了多项教育计划，以促进多学科疼痛管理。本文介绍了以东南亚为重点的各种教育计划，这些计划展示了包括技能培训、随访和指导在内的有针对性的教育计划如何转化为在资源有限的环境中形成新的多学科疼痛管理服务。