Addressing a dual public health emergency: supporting physicians to prescribe opioid medications.

作者: Nilanga Aki Bandara , Vahid Mehrnoush , Jay Herath

DOI: 10.1503/CMAJ.76776

关键词:

摘要: With respect to COVID-19 prevention, the Canadian government defines a category of clinically vulnerable people in which those with "mild moderate respiratory disease" and "weakened immune system as result certain conditions or medicines they are taking" advised take extra care 2 Accordingly, patients chronic opioid dependence should be included high-risk group Because pandemic, facing severe shortage clean opioids Tyndall makes important point that physicians British Columbia have been cautious prescribing medications despite clinical guidance being provided during pandemic 1 The approach may messages become accustomed to,3 specifically stigmatize instill fear their addicted ultimately succumb addiction 3 It is address discomforts challenges regard encourage consider additional factors such socioeconomic status, mental health substance use problems when having conversations about 4 We suggest further resources created support becoming more comfortable medications, given most lack proper training optimally prescribe 5 Recent from Centre on Substance Use, addresses both overdose crises, provides for professionals, including valuable case studies microinduction protocols 6 However, professionals reflecting positionality developing confidence ability manage disorder would good addition guideline

参考文章(4)
Charles F. von Gunten, , The Pendulum Swings for Opioid Prescribing Journal of Palliative Medicine. ,vol. 19, pp. 348- 348 ,(2016) , 10.1089/JPM.2016.0079
George Comerci, Joanna Katzman, Daniel Duhigg, Controlling the Swing of the Opioid Pendulum. The New England Journal of Medicine. ,vol. 378, pp. 691- 693 ,(2018) , 10.1056/NEJMP1713159
Fiona Webster, Kathleen Rice, Joel Katz, Onil Bhattacharyya, Craig Dale, Ross Upshur, An ethnography of chronic pain management in primary care: The social organization of physicians’ work in the midst of the opioid crisis PLOS ONE. ,vol. 14, pp. e0215148- ,(2019) , 10.1371/JOURNAL.PONE.0215148
Mark Tyndall, A safer drug supply: a pragmatic and ethical response to the overdose crisis Canadian Medical Association Journal. ,vol. 192, ,(2020) , 10.1503/CMAJ.201618