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Titolo:
What are the qualities of dilemmas experienced when prescribing opioids ingeneral practice?
Autore:
Bendtsen, P; Hensing, G; Ebeling, C; Schedin, A;
Indirizzi:
Fac Hlth Sci, Div Prevent & Social Med, Dept Hlth & Environm, S-58185 Linkoping, Sweden Fac Hlth Sci Linkoping Sweden S-58185 nvironm, S-58185 Linkoping, Sweden
Titolo Testata:
PAIN
fascicolo: 1, volume: 82, anno: 1999,
pagine: 89 - 96
SICI:
0304-3959(199907)82:1<89:WATQOD>2.0.ZU;2-R
Fonte:
ISI
Lingua:
ENG
Soggetto:
PRESCRIPTION DRUG-ABUSE; CRITICAL INCIDENT TECHNIQUE; BENZODIAZEPINE USE; PRACTITIONERS; MANAGEMENT; DEPENDENCE; PATTERNS; CARE; PAIN;
Keywords:
opioids; prescribing; general practice;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
27
Recensione:
Indirizzi per estratti:
Indirizzo: Bendtsen, P Fac Hlth Sci, Div Prevent & Social Med, Dept Hlth & Environm, S-58185 Linkoping, Sweden Fac Hlth Sci Linkoping Sweden S-58185 8185 Linkoping, Sweden
Citazione:
P. Bendtsen et al., "What are the qualities of dilemmas experienced when prescribing opioids ingeneral practice?", PAIN, 82(1), 1999, pp. 89-96

Abstract

The decision process preceding prescribing analgesics is complex and the physician is often struggling to balance several disparate considerations inorder to work out what is rational. Several factors - medical, intellectual, emotional and logistic - influence the decision whether or not to prescribe, and the decision itself influences how the physicians feel about themselves. In this study the 'critical incident technique' was used for exploring the qualities of dilemmas among general physicians prior to prescribing analgesics to patients in primary health care. The study displayed two maintypes of problems in connection with prescription of opioids. The first main problem was a concern about abuse and addiction with no proper indication for the drug. The second main type of problem was related to the appropriateness of the drug, although the indication as such might be correct, i.e.acute or chronic pain. An important consequence of the dilemmas experienced influenced the physicians' self-esteem negatively, including failures in the patient-physician relationship. This results in emotional strain and isoften experienced as a personal defeat. Only a few physicians denied prescription despite the experience of a dilemma, which might indicate an ambivalence or lack of knowledge among physicians with regard to proper indications for opioid prescription. However, it may also suggest that physicians need more training in saying no, or skills in deciding proper indications foropioids, which needs to be addressed during educational programmes. (C) 1999 International Association for the Study of Pain. Published by Elsevier Science B.V.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 06/08/20 alle ore 04:14:58