Hero Joachim O, McMurtry Caitlin, Benson John, Blendon Robert
Interfaculty Initiative in Health Policy, Harvard University, Boston, Massachusetts
Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
Ann Fam Med. 2016 Nov;14(6):575-577. doi: 10.1370/afm.1994.
We used 2 population-representative surveys to evaluate the recommendation from recent clinical guidelines for prescribing opioid analgesics that physicians discuss the risk of long-term use disorders with patients. In nationally representative data we observed a 60% lower rate, after adjustment for covariates, in a self-reported saving of pills among respondents who say they talked with their physicians about the risks of prescription painkiller addiction (67% lower rate without adjustment). These findings suggest patient education efforts, as currently practiced in the United States, may have positive behavioral consequences that could lower the risks of prescription painkiller abuse. Future research should test these associations under controlled settings.
我们使用了两项具有人群代表性的调查,以评估近期临床指南中关于开具阿片类镇痛药的建议,即医生应与患者讨论长期使用障碍的风险。在具有全国代表性的数据中,在对协变量进行调整后,那些表示与医生讨论过处方止痛药成瘾风险的受访者自我报告的节省药丸率降低了60%(未调整时降低了67%)。这些发现表明,美国目前实施的患者教育工作可能会产生积极的行为后果,从而降低处方止痛药滥用的风险。未来的研究应在可控环境下检验这些关联。