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大麻及其在老年人群体中的治疗价值:医疗保健提供者的态度。

Cannabis and its therapeutic value in the ageing population: Attitudes of health-care providers.

机构信息

School of Medicine, Western Sydney University, Sydney, NSW, Australia.

University Centre for Rural Health, Lismore, NSW, Australia.

出版信息

Australas J Ageing. 2021 Sep;40(3):261-274. doi: 10.1111/ajag.12846. Epub 2021 Jul 16.

Abstract

OBJECTIVE(S): To explore the attitudes of health-care providers and the perceived barriers and facilitators regarding the use of cannabis-containing medicines (CCMs) in older patients.

METHODS

Semi-structured interviews with eleven health-care providers in rural New South Wales (NSW). A thematic analysis was performed.

RESULTS

Themes and recommendations include attitudes towards CCMs for therapeutic purposes, their perceived uses, side effects, barriers to use and prescription (stigma, regulation, access and driving), difficulties encountered with the Special Access Scheme (SAS) and the need for ongoing research and education. An ecological framework demonstrated the complex interactions between patients and health-care providers and their social, community and political environment.

CONCLUSION

Providers' attitudes towards CCM use in older patients are generally positive; however, there is a need for further high-quality evidence on efficacy and safety, alongside improved CCM education and training, to reduce barriers to their implementation. Barriers to prescription and access continue to evolve on personal, organisational and systemic levels.

摘要

目的

探讨医疗保健提供者对使用含大麻药物(CCM)治疗老年患者的态度,以及他们认为的使用障碍和促进因素。

方法

对新南威尔士州(NSW)农村地区的 11 名医疗保健提供者进行半结构化访谈。进行了主题分析。

结果

主题和建议包括对 CCM 治疗用途的态度、他们认为的用途、副作用、使用障碍和处方(耻辱感、监管、获取途径和驾驶)、特殊准入方案(SAS)中遇到的困难以及对持续研究和教育的需求。生态框架展示了患者和医疗保健提供者及其社会、社区和政治环境之间的复杂相互作用。

结论

提供者对老年患者使用 CCM 的态度总体上是积极的;然而,需要更多关于疗效和安全性的高质量证据,同时还需要改善 CCM 教育和培训,以减少其实施的障碍。处方和获取途径的障碍继续在个人、组织和系统层面上演变。

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