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Targeting practitioners: A review of guidelines, training, and policy in pain management.
- Source :
-
Drug & Alcohol Dependence . Apr2017 Supplement 1, Vol. 173, pS22-S30. 1p. - Publication Year :
- 2017
-
Abstract
- This paper reviews the current literature on clinical guidelines, practitioner training, and government/payer policies that have come forth in response to the national rise in prescription opioid overdoses. A review of clinical opioid prescribing guidelines highlights the need for more research on safe and effective treatment options for chronic pain, improved guidance for the best management of post-operative pain, and evaluation of the implementation and impact of guideline recommendations on patient risk and outcomes. Although there is increasing attention to training in pain management in medical schools and medical residency programs, educational opportunities remain highly variable, and the need for additional clinician training in the recognition and treatment of pain as well as opioid use disorder has been recognized. Mandated use of private, federal and state educational and clinical initiatives such as Risk Evaluation and Mitigation Strategies (REMS) and Prescription Drug Monitoring Programs (PDMPs) generally increase utilization of these initiatives, but more research is needed to determine the impact of these initiatives on provider behaviors, treatment access, and patient outcomes. Finally, there is an acute need for more research on safe and effective treatments for chronic pain as well as an increased multi-level focus on improving training and access to evidence-based treatment for opioid use disorder as well as non-pharmacologic and non-interventional chronic pain treatments, so that these guideline-recommended interventions can become mainstream, accessible, first-line interventions for chronic pain and/or opioid use disorders. [ABSTRACT FROM AUTHOR]
- Subjects :
- *PAIN management
*CHRONIC pain treatment
*TARGETED drug delivery
*OPIOID abuse
*PHYSICIAN adherence
*TREATMENT effectiveness
*MEDICATION safety
*GOVERNMENT policy
*DRUG overdose
*SUBSTANCE abuse prevention
*THERAPEUTIC use of narcotics
*DRUG therapy
*ANALGESICS
*CHRONIC pain
*DRUG monitoring
*DRUGS
*INTERNSHIP programs
*HEALTH policy
*MEDICAL protocols
*NARCOTICS
*POSTOPERATIVE pain
*RESEARCH funding
*RISK assessment
*CONTINUING medical education
*PREVENTION
Subjects
Details
- Language :
- English
- ISSN :
- 03768716
- Volume :
- 173
- Database :
- Academic Search Index
- Journal :
- Drug & Alcohol Dependence
- Publication Type :
- Academic Journal
- Accession number :
- 122242220
- Full Text :
- https://doi.org/10.1016/j.drugalcdep.2016.08.641