Chronic Pain has become a Chronic Problem in Norway. What are we doing Wrong? A Report from a Norwegian Pain Clinic

Hervik J, Stub T
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Abstract

hronic pain occurs in around 20% of European adults [1], affecting 100 million people. In Norway 30% of the population suffer from chronic pain [2]. Reasons for why Norwegians have such a high incidence of chronic pain is not known. Chronic pain has been associated with socio-economic deprivation [3]. However, the World Bank has declared Norway the richest country in the world [4]. All residents are covered by the National Insurance Scheme. Private medical insurance is limited and most hospitals are public. Outpatient care and medicines used in chronic diseases are usually heavily subsidized or free. Is it possible that these support systems and the provision of sick pay paradoxically reduce motivation in individuals to increase levels of activity, and reduce the use of medication, thereby delaying a return to work?
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慢性疼痛已经成为挪威的一个慢性问题。我们做错了什么?一份来自挪威疼痛诊所的报告
大约20%的欧洲成年人患有慢性疼痛[1],影响1亿人。在挪威,30%的人口患有慢性疼痛[2]。挪威人慢性疼痛发病率如此之高的原因尚不清楚。慢性疼痛与社会经济剥夺有关[3]。然而,世界银行宣布挪威是世界上最富有的国家[4]。所有居民都享有国家保险计划。私人医疗保险有限,大多数医院都是公立医院。门诊治疗和慢性病用药通常得到大量补贴或免费。这些支持系统和病假工资的提供是否可能矛盾地降低了个人增加活动水平的动机,并减少了药物的使用,从而推迟了重返工作岗位?
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