Gordon Adam J, Harding John Daniel
a Division of Epidemiology, Department of Medicine , University of Utah School of Medicine , Salt Lake City , Utah , USA.
b Informatics, Decision Enhancement and Analytic Sciences Center, VA Salt Lake City Health Care System , Salt Lake City , Utah , USA.
Subst Abus. 2017 Apr-Jun;38(2):119-121. doi: 10.1080/08897077.2017.1309938.
Opioid misuse may be ignored by providers who are unwilling or not confident in engaging the complex nature of substance use disorders among their patient populations. Addiction is a complex disease, and although providers often are comfortable in identifying, assessing, and treating the complex diseases of their patients, basic knowledge and skills of identification, assessment, and treatment expertise involving opioids for pain, addressing opioid misuse, and treatment of opioid use disorder are lacking. Initiatives to improve knowledge of opioid use, misuse, and opioid use disorder among health care providers are emerging. In this issue of the Substance Abuse journal, we examine the science and evidence base of educational interventions and public initiatives addressing opioid use and addiction. These initiatives include naloxone rescue awareness and programs, community-based training initiatives, and system or public health approaches to improve student, trainee, and clinician education/training revolving around opioid misuse and opioid use disorder. We call on stakeholders to fund more research to investigate and implement the proven means to educate undergraduate students, graduate trainees, and clinicians regarding pain and addiction. We also recognize the 2016 peer reviewers of our journal who have performed meritorious, volunteer service to advance the science of addiction.
对于那些不愿意或没有信心处理患者群体中物质使用障碍复杂问题的医疗服务提供者来说,阿片类药物的误用可能会被忽视。成瘾是一种复杂的疾病,虽然医疗服务提供者通常能够自如地识别、评估和治疗患者的复杂疾病,但在涉及用于止痛的阿片类药物的识别、评估以及治疗专业知识、解决阿片类药物误用问题和治疗阿片类药物使用障碍方面,他们缺乏基本知识和技能。提高医疗服务提供者对阿片类药物使用、误用及阿片类药物使用障碍认识的举措正在不断涌现。在本期《药物滥用》杂志中,我们探讨了针对阿片类药物使用和成瘾的教育干预措施及公共举措的科学依据和证据基础。这些举措包括纳洛酮急救意识及相关项目、基于社区的培训举措,以及旨在改善围绕阿片类药物误用和阿片类药物使用障碍的学生、实习生及临床医生教育/培训的系统或公共卫生方法。我们呼吁利益相关者提供更多资金用于研究,以调查并实施经证实的方法,对本科生、研究生实习生和临床医生进行有关疼痛和成瘾方面的教育。我们还要感谢2016年为本刊审稿的同行,他们为推动成瘾科学的发展提供了卓越的志愿服务。