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评估医疗保健提供者对医用大麻的认知。

Assessing Health Care Providers' Knowledge of Medical Cannabis.

机构信息

Population Studies Center, University of Michigan, Ann Arbor, Michigan, USA.

Medical School, University of Michigan, Ann Arbor, Michigan, USA.

出版信息

Cannabis Cannabinoid Res. 2022 Aug;7(4):501-507. doi: 10.1089/can.2021.0032. Epub 2021 Aug 31.

DOI:10.1089/can.2021.0032
PMID:34463161
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9418358/
Abstract

Many health care providers would benefit from greater knowledge and awareness of medical cannabis, even if they choose not to integrate it into their medical practice. Unfortunately, health care providers generally report low knowledge of medical cannabis and cite this lack of knowledge as a barrier to making patient recommendations. It is important to understand health care providers' medical cannabis knowledge and its correlates. However, few studies have rigorously assessed clinically relevant cannabis-related knowledge, instead typically focusing on attitudes toward cannabis and perceived knowledge. Physicians in a university-affiliated health system completed an anonymous online survey. The survey assessed participants' basic demographics and medical experience, experiences with cannabis education, beliefs about their knowledge of and competency regarding medical cannabis, and knowledge of medical cannabis in relation to the current scientific evidence. The average level of medical cannabis knowledge was 58% correct, with scores ranging from 39% to 78% correct. Perceived cannabis knowledge predicted actual knowledge, and those who pursued self-initiated study or attended a lecture on medical cannabis had higher knowledge levels. Levels of factual knowledge about medical cannabis among physicians were moderate. Our results highlight the mismatch between physician knowledge and cannabis policy. We offer our brief, 10-min assessment as a baseline for characterizing cannabis knowledge, acknowledging that the content and interpretation may change as knowledge advances.

摘要

许多医疗保健提供者如果不将其纳入医疗实践,也会受益于更多的医学大麻知识和意识。不幸的是,医疗保健提供者通常报告说对医用大麻的了解有限,并将这种知识缺乏作为向患者提出建议的障碍。了解医疗保健提供者的医用大麻知识及其相关因素很重要。然而,很少有研究严格评估与临床相关的大麻相关知识,而是通常侧重于对大麻的态度和感知知识。

隶属于大学的医疗系统的医生完成了一项匿名在线调查。该调查评估了参与者的基本人口统计学和医疗经验、大麻教育经验、对自己的医学大麻知识和能力的信念,以及与当前科学证据相关的医学大麻知识。

医用大麻知识的平均水平正确度为 58%,正确度从 39%到 78%不等。对大麻的感知知识预测了实际知识,那些自学或参加医用大麻讲座的人知识水平更高。

医生对医用大麻的实际知识水平中等。我们的研究结果突出了医生知识与大麻政策之间的不匹配。我们提供简短的 10 分钟评估作为表征大麻知识的基准,承认随着知识的进步,内容和解释可能会发生变化。

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PRiMER. 2017 Oct 13;1:20. doi: 10.22454/PRiMER.2017.593677. eCollection 2017 Sep.
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A Survey on Cannabinoid Treatment of Pediatric Epilepsy Among Neuropediatricians in Scandinavia and Germany.斯堪的纳维亚和德国神经儿科医生对儿童癫痫进行大麻素治疗的调查。
Front Pediatr. 2020 Jul 24;8:416. doi: 10.3389/fped.2020.00416. eCollection 2020.
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Health care provider preferences for, and barriers to, cannabis use in cancer care.医疗保健提供者对癌症护理中使用大麻的偏好和障碍。
Curr Oncol. 2020 Apr;27(2):e199-e205. doi: 10.3747/co.27.5615. Epub 2020 May 1.
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Knowledge and Practice of Harm Reduction Strategies Among People Who Report Frequent Cannabis Use.频繁使用大麻人群中减少伤害策略的知识与实践。
Health Promot Pract. 2021 Jan;22(1):24-30. doi: 10.1177/1524839920923999. Epub 2020 May 22.
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Medical Reasons for Marijuana Use, Forms of Use, and Patient Perception of Physician Attitudes Among the US Population.美国人群中使用大麻的医学原因、使用形式以及患者对医生态度的看法。
J Gen Intern Med. 2020 Jul;35(7):1979-1986. doi: 10.1007/s11606-020-05800-7. Epub 2020 Apr 6.
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Cannabis Enthusiasts' Knowledge of Medical Treatment Effectiveness and Increased Risks From Cannabis Use.大麻爱好者对医疗效果的了解以及增加的大麻使用风险。
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