应如何规范阿片类药物的使用以促进更好的临床实践？

Q2 Social Sciences

AMA journal of ethics Pub Date : 2024-07-01 DOI:10.1001/amajethics.2024.551

Ellen L Edens, Gabriela Garcia Vassallo, Robert Heimer

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引用次数: 0

摘要

自 20 世纪 90 年代以来，美国的阿片类药物处方政策对阿片类药物治疗疼痛的处方限制少于对阿片类药物使用障碍（OUD）治疗的处方限制，本文介绍了这一政策的历史和政治原因以及造成的破坏性后果。本文探讨了新诊断类别的优缺点，并提出了长期阿片类药物治疗疼痛处方和阿片类药物治疗 OUD 处方的监管和临床框架。

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How Should the Use of Opioids Be Regulated to Motivate Better Clinical Practice?

This article describes historical and political reasons for-and devastating consequences of-US opioid prescribing policy since the 1990s, which has restricted opioid prescribing for pain less than for treating opioid use disorder (OUD) treatment. This article considers merits and drawbacks of a new diagnostic category and proposes a regulatory and clinical framework for prescribing long-term opioid therapy for pain and for prescribing opioids to treat OUD.

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来源期刊

AMA journal of ethics Social Sciences-Health (social science)

CiteScore

1.90

自引率

0.00%

发文量

146

期刊介绍： The AMA Journal of Ethics exists to help medical students, physicians and all health care professionals navigate ethical decisions in service to patients and society. The journal publishes cases and expert commentary, medical education articles, policy discussions, peer-reviewed articles for journal-based and audio CME, visuals, and more. Since its inception as an editorially-independent journal, we promote ethics inquiry as a public good.