%0 Journal Article %J Journal of general internal medicine %D 2014 %T A Partnered Approach to Opioid Management, Guideline Concordant Care and the Stepped Care Model of Pain Management. %A Dorflinger, Lindsey %A Moore, Brent %A Goulet, Joseph %A Becker, William %A Heapy, Alicia A %A Sellinger, John J %A Kerns, Robert D %R 10.1007/s11606-014-3019-2 %X Pain is the most common presenting problem in primary care. Opioid therapy (OT) for chronic pain has increased dramatically over the past decade, as have related negative outcomes. Despite the development and dissemination of policy and clinical practice guidelines for pain management and OT, adoption has been variable. The Veterans Health Administration (VHA) has established a Stepped Care Model of Pain Management (SCM-PM) as an evidence-based framework and single standard of pain care to promote guideline-concordant care, but to date its adoption and related outcomes have not been systematically examined. %8 2014 Oct 30