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健康专业人员在初级保健中对药物成瘾的怀疑及处理程度:英格兰西北部一项调查的结果

The extent that health professionals suspect and address addiction to medicines in primary care: Findings from a survey in Northwest England.

作者信息

Bates Geoff, Cochrane Madeleine, Mackridge Adam John

机构信息

a Public Health Institute, Liverpool John Moores University , Liverpool , United Kingdom.

b School of Pharmacy and Biomolecular Science , Liverpool John Moores University , Liverpool , United Kingdom.

出版信息

J Addict Dis. 2017 Jul-Sep;36(3):147-150. doi: 10.1080/10550887.2017.1299895. Epub 2017 Mar 1.

Abstract

Addiction to medicines available over the counter or via prescription is of growing international concern. The authors of the current article ran an online survey of health professionals in general medical practice and community pharmacy settings in Northwest England to explore the frequency of suspecting and responding to addiction to medicines. Health professionals reported frequently identifying addiction to medicines among patients including those with long-term pain, mental health problems, sleep disorders, and other substance use disorders, but that these addictions often go unchallenged. This adds to the evidence indicating the under-diagnosis of addiction to medicines in the United Kingdom. Strategies to improve diagnosis and treatment should recognize the diversity of individuals with addiction to medicines.

摘要

对非处方药或处方药的药物成瘾问题日益引起国际关注。本文作者对英格兰西北部普通医疗实践和社区药房环境中的卫生专业人员进行了一项在线调查,以探讨怀疑和应对药物成瘾的频率。卫生专业人员报告说,他们经常在患者中识别出药物成瘾问题,包括那些患有长期疼痛、心理健康问题、睡眠障碍和其他物质使用障碍的患者,但这些成瘾问题往往未受到质疑。这进一步证明了英国存在药物成瘾诊断不足的情况。改善诊断和治疗的策略应认识到药物成瘾者的多样性。

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