Civil Rights Laws for People With Opioid Use Disorder in the Emergency Department.

IF 4.2 3区 医学 Q1 SUBSTANCE ABUSE
Anna-Maria South, Kathryn Hawk, Sally Friedman, Michelle R Lofwall, Laura C Fanucchi, Shawn M Cohen
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引用次数: 0

Abstract

Emergency clinicians frequently care for patients with complications from underlying opioid use disorder. While many clinicians are comfortable addressing the immediate medical complications of opioid use disorder, too many do not offer evidence-based medications that stabilize the patient by alleviating withdrawal and cravings, and that also treat opioid use disorder, the underlying cause of the presentation. Because medication for opioid use disorder, namely methadone and buprenorphine, reduces the risk of death by up to 50%, this omission at a critical touchpoint in the health care system misses an opportunity to engage people in care and reduce fatal overdose. It also exposes the emergency department and health care facility to potential legal liability. Under federal civil rights laws, it is illegal to discriminate against people with opioid use disorder; discrimination may include failure to screen for and diagnose opioid use disorder and offer medications for opioid use disorder alongside a facilitated referral for outpatient treatment. Advocates for a more effective emergency department response to opioid use disorder can use these civil rights laws to press for the adoption of evidence-based practices for people with opioid use disorder. Legal advocacy is an important tool to utilize during this unrelenting overdose crisis.

急诊科阿片类药物使用障碍患者的民权法
急诊临床医生经常护理潜在阿片类药物使用障碍并发症的患者。虽然许多临床医生对解决阿片类药物使用障碍的直接医学并发症感到满意,但太多的临床医生没有提供基于证据的药物,这些药物可以通过减轻戒断和渴望来稳定患者,也可以治疗阿片类药物使用障碍,这是导致症状的根本原因。由于治疗阿片类药物使用障碍的药物,即美沙酮和丁丙诺啡,可将死亡风险降低多达50%,因此在卫生保健系统的关键接触点上的这一疏忽错过了让人们参与护理和减少致命过量的机会。它还使急诊科和卫生保健机构面临潜在的法律责任。根据联邦民权法,歧视阿片类药物使用障碍患者是非法的;歧视可能包括未能筛查和诊断阿片类药物使用障碍,并为阿片类药物使用障碍提供药物,同时便利转诊进行门诊治疗。倡导急诊室对阿片类药物使用障碍作出更有效反应的人可以利用这些民权法,敦促对阿片类药物使用障碍患者采取循证做法。在这场无情的药物过量危机中,法律宣传是一种重要的工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Addiction Medicine
Journal of Addiction Medicine 医学-药物滥用
CiteScore
6.10
自引率
9.10%
发文量
260
审稿时长
>12 weeks
期刊介绍: The mission of Journal of Addiction Medicine, the official peer-reviewed journal of the American Society of Addiction Medicine, is to promote excellence in the practice of addiction medicine and in clinical research as well as to support Addiction Medicine as a mainstream medical sub-specialty. Under the guidance of an esteemed Editorial Board, peer-reviewed articles published in the Journal focus on developments in addiction medicine as well as on treatment innovations and ethical, economic, forensic, and social topics including: •addiction and substance use in pregnancy •adolescent addiction and at-risk use •the drug-exposed neonate •pharmacology •all psychoactive substances relevant to addiction, including alcohol, nicotine, caffeine, marijuana, opioids, stimulants and other prescription and illicit substances •diagnosis •neuroimaging techniques •treatment of special populations •treatment, early intervention and prevention of alcohol and drug use disorders •methodological issues in addiction research •pain and addiction, prescription drug use disorder •co-occurring addiction, medical and psychiatric disorders •pathological gambling disorder, sexual and other behavioral addictions •pathophysiology of addiction •behavioral and pharmacological treatments •issues in graduate medical education •recovery •health services delivery •ethical, legal and liability issues in addiction medicine practice •drug testing •self- and mutual-help.
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