Changing Prescribing Behavior in the United States: Moving Upstream in Opioid Prescription Education.
作者： H. Jean C. Wiese , Raven R. Piercey , Claire D. Clark
DOI: 10.1002/CPT.1015
关键词:
摘要: In the US, deaths from prescription opioids have quadrupled since 1999, prompting authorities to declare an "opioid abuse" crisis. Rising overdose were attributed trends in overprescription of opioids, specifically strength and duration initial prescription. We describe educational interventions designed control healthcare professionals' (HCPs) opioid prescribing wake this A review relevant programs for practicing providers, medical residents, students reveals a focus on that we describe, borrowing sociologist John McKinlay's metaphor public health interventions, as "downstream." These downstream concentrate regulating educating HCPs rather than transforming training environment residents. draw theories behavior change call development complementary "upstream" future practitioners structural psychosocial factors may contribute more sustainable outcomes.
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