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

Humans Analgesics, Opioid / therapeutic use Opioid-Related Disorders / drug therapy Practice Patterns, Physicians' / ethics United States Pain / drug therapy Motivation Drug Prescriptions / standards Drug and Narcotic Control

Journal

AMA journal of ethics
ISSN: 2376-6980
Titre abrégé: AMA J Ethics
Pays: United States
ID NLM: 101649265

Informations de publication

Date de publication:
01 Jul 2024
Historique:
medline: 3 7 2024
pubmed: 3 7 2024
entrez: 3 7 2024
Statut: epublish

Résumé

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.

Identifiants

DOI: 10.1001/amajethics.2024.551 PMID: 38958424
pubmed: 38958424
pii: amajethics.2024.551
doi: 10.1001/amajethics.2024.551
doi:
pii:

Substances chimiques

Analgesics, Opioid 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

E551-561

Informations de copyright

Copyright 2024 American Medical Association. All Rights Reserved.

Auteurs

Ellen L Edens (EL)

Associate professor of psychiatry at the Yale School of Medicine in New Haven, Connecticut.

Gabriela Garcia Vassallo (G)

Assistant professor of psychiatry at the Yale School of Medicine in New Haven, Connecticut.

Robert Heimer (R)

Professor of epidemiology and pharmacology at the Yale School of Medicine in New Haven, Connecticut.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › How Should the Use of Opioids Be Regulated to...
questionsmedicales.fr › Actions chimiques et utilisations › Actions pharmacologiques › Utilisations thérapeutiques › Agents du système nerveux central › Dépresseurs du système nerveux central › Stupéfiants › Analgésiques morphiniques › How Should the Use of Opioids Be Regulated to...
questionsmedicales.fr › Troubles mentaux › Troubles liés à une substance › Troubles liés à l'usage de substances psychotropes › Troubles liés aux opiacés › How Should the Use of Opioids Be Regulated to...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Prestations des soins de santé › Types de pratiques des médecins › How Should the Use of Opioids Be Regulated to...
questionsmedicales.fr › Régions géographiques › Amériques › Amérique du Nord › États-Unis › How Should the Use of Opioids Be Regulated to...
questionsmedicales.fr › Phénomènes physiologiques de l'appareil locomoteur et du système nerveux › Phénomènes physiologiques du système nerveux › Sensation › Douleur › How Should the Use of Opioids Be Regulated to...
questionsmedicales.fr › Comportement et mécanismes comportementaux › Personnalité › Intelligence › Intelligence émotionnelle › Motivation › How Should the Use of Opioids Be Regulated to...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Services pharmaceutiques › Ordonnances › Ordonnances médicamenteuses › How Should the Use of Opioids Be Regulated to...
questionsmedicales.fr › Administration des services de santé › Organisation et administration › Administration pharmacie › Contrôle des médicaments et des stupéfiants › How Should the Use of Opioids Be Regulated to...