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好的药师-医师疼痛管理合作模式是什么样的?

What Does Good Pharmacist-Physician Pain Management Collaboration Look Like?

机构信息

First-year community pharmacy resident with the American Pharmacy Services Corporation in coordination with the University of Kentucky College of Pharmacy.

Former executive vice-president and chief executive officer of the American Pharmacists Association.

出版信息

AMA J Ethics. 2020 Aug 1;22(1):E675-680. doi: 10.1001/amajethics.2020.675.

DOI:10.1001/amajethics.2020.675
PMID:32880355
Abstract

Physicians and pharmacists have critical roles in addressing the current opioid epidemic and ensuring appropriate care for patients with pain. Both physicians and pharmacists have responsibilities to ensure that opioids are prescribed and dispensed for legitimate medical purposes and to meet legal requirements. Health care systems have implemented policies to curb opioid prescribing and dispensing, but many of these policies place additional pressures on clinicians and can cause friction between physicians and pharmacists. Cases discussed in this article highlight 5 optimal physician and pharmacist behaviors that can help foster better collaboration between these clinicians, improve management strategies, and improve care of patients with pain.

摘要

医生和药剂师在解决当前阿片类药物泛滥问题和确保疼痛患者得到适当治疗方面发挥着关键作用。医生和药剂师都有责任确保阿片类药物的开具和配药是出于合法的医疗目的,并符合法律要求。医疗保健系统已经实施了政策来遏制阿片类药物的开具和配药,但这些政策中的许多都给临床医生带来了额外的压力,并可能导致医生和药剂师之间的摩擦。本文讨论的案例强调了 5 种最佳的医生和药剂师行为,这些行为有助于促进这些临床医生之间更好的合作,改进管理策略,并改善疼痛患者的护理。

相似文献

1
What Does Good Pharmacist-Physician Pain Management Collaboration Look Like?好的药师-医师疼痛管理合作模式是什么样的?
AMA J Ethics. 2020 Aug 1;22(1):E675-680. doi: 10.1001/amajethics.2020.675.
2
Pharmacist-physician collaboration in pain management practice.药剂师与医生在疼痛管理实践中的协作。
J Opioid Manag. 2007 Nov-Dec;3(6):295-301. doi: 10.5055/jom.2007.0017.
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Optimizing opioid prescribing and pain treatment for surgery: Review and conceptual framework.优化手术患者阿片类药物处方和疼痛治疗:综述和概念框架。
Am J Health Syst Pharm. 2019 Sep 3;76(18):1403-1412. doi: 10.1093/ajhp/zxz146.
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Opioid exit plan: A pharmacist's role in managing acute postoperative pain.阿片类药物退出计划:药剂师在管理急性术后疼痛中的作用。
J Am Pharm Assoc (2003). 2017 Mar-Apr;57(2S):S92-S98. doi: 10.1016/j.japh.2017.01.016.
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Educating junior doctors and pharmacists to reduce discharge prescribing of opioids for surgical patients: a cluster randomised controlled trial.教育初级医生和药剂师以减少外科患者出院时开具的阿片类药物处方:一项集群随机对照试验。
Med J Aust. 2020 Nov;213(9):417-423. doi: 10.5694/mja2.50812. Epub 2020 Oct 10.
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Physician-pharmacist collaboration on chronic non-cancer pain management during the opioid crisis: A qualitative interview study.在阿片类药物危机期间,医生-药剂师合作管理慢性非癌症疼痛:一项定性访谈研究。
Res Social Adm Pharm. 2019 Aug;15(8):1027-1031. doi: 10.1016/j.sapharm.2019.04.052. Epub 2019 Apr 26.
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Associations between statewide prescription drug monitoring program (PDMP) requirement and physician patterns of prescribing opioid analgesics for patients with non-cancer chronic pain.州级处方药物监测计划(PDMP)要求与医生为非癌症慢性疼痛患者开具阿片类镇痛药处方模式之间的关联。
Addict Behav. 2018 Jan;76:348-354. doi: 10.1016/j.addbeh.2017.08.032. Epub 2017 Sep 5.
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The Role of the Medical School Training on Physician Opioid Prescribing Practices: Evidence from Ontario, Canada: Le rôle de la formation à la faculté de médecine à l'égard des pratiques de prescription d'opioïdes des médecins: données probantes d'Ontario, Canada.医学院培训对医生开具阿片类药物处方行为的影响:来自加拿大安大略省的证据
Can J Psychiatry. 2020 Oct;65(10):710-720. doi: 10.1177/0706743720931240. Epub 2020 Jun 8.
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A review of opioid analgesics frequently prescribed by podiatric physicians.足病医生常用阿片类镇痛药综述。
J Am Podiatr Med Assoc. 2006 Jul-Aug;96(4):367-73. doi: 10.7547/0960367.
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A pharmacist-led intervention to improve the management of opioids in a general practice: a qualitative evaluation of participant interviews.药剂师主导的干预措施改善一般实践中的阿片类药物管理:对参与者访谈的定性评估。
Int J Clin Pharm. 2022 Feb;44(1):235-246. doi: 10.1007/s11096-021-01340-0. Epub 2021 Nov 9.

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Explor Res Clin Soc Pharm. 2024 Dec 20;17:100555. doi: 10.1016/j.rcsop.2024.100555. eCollection 2025 Mar.
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Pain Physicians' Attitudes and Experiences Regarding Clinical Pharmacy Services in China: A National Cross-Sectional Survey.中国疼痛科医生对临床药学服务的态度与经历:一项全国性横断面调查
J Multidiscip Healthc. 2023 Jan 10;16:21-29. doi: 10.2147/JMDH.S397039. eCollection 2023.
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The Role of the Pharmacist in Combating the Opioid Crisis: An Update.
药剂师在应对阿片类药物危机中的作用:最新情况
Subst Abuse Rehabil. 2022 Dec 28;13:127-138. doi: 10.2147/SAR.S351096. eCollection 2022.