Behavioral Health, Denver Health, Denver, CO 80220, USA.
J Gen Intern Med. 2011 Nov;26(11):1364-7. doi: 10.1007/s11606-011-1840-4. Epub 2011 Aug 24.
As the use of medical marijuana expands, it is important to consider its implications for the patient-physician relationship. In Colorado, a small cohort of physicians is recommending marijuana, with 15 physicians registering 49% of all medical marijuana patients and a single physician registering 10% of all patients. Together, they have registered more than 2% of the state to use medical marijuana in the last three years. We are concerned that this dramatic expansion is occurring in a setting rife with conflicts of interest despite insufficient scientific knowledge about marijuana. This system diminishes the patient-physician relationship to the recommendation of a single substance while unburdening physicians of their usual responsibilities to the welfare of their patients.
随着医用大麻的使用不断扩大,有必要考虑其对医患关系的影响。在科罗拉多州,一小部分医生在推荐大麻,其中 15 名医生登记了 49%的医用大麻患者,而一名医生登记了 10%的患者。他们总共在过去三年中登记了超过 2%的州使用医用大麻。我们担心的是,尽管对大麻的科学知识还很有限,但这种戏剧性的扩张正在一个利益冲突严重的环境中发生。这种制度将医患关系简化为对单一物质的推荐,同时使医生摆脱了对患者福利的通常责任。