Emergency Department of Washington University School of Medicine and Barnes Jewish Hospital, St. Louis, Missouri.
Mo Med. 2022 May-Jun;119(3):271-276.
Much of the focus on the current opioid crisis remains on how we arrived here and who is to blame. Despite having effective treatments for the management of patients with opioid use disorder (OUD), rates of overdose deaths continue to increase. As such, the focus needs to shift to increasing access to medications for OUD and better incorporation of harm reduction strategies to decrease not just the mortality but also the morbidity associated with OUD and other substance use disorders. Unfortunately, significant barriers rooted in misunderstanding and bias still limit access and prevent patients with OUD from seeking and staying in treatment. Until these are overcome and medical practice changes, both physicians and patients will continue to struggle to overcome this problem.
当前阿片类药物危机的重点主要集中在我们是如何走到这一步的，以及应该责怪谁。尽管我们有治疗阿片类药物使用障碍（OUD）患者的有效方法，但过量用药死亡人数仍在继续上升。因此，重点需要转移到增加阿片类药物使用障碍药物的可及性，以及更好地纳入减少伤害策略，不仅降低与阿片类药物使用障碍和其他物质使用障碍相关的死亡率，还要降低发病率。不幸的是，由于误解和偏见而导致的严重障碍仍然限制了药物的获取，并阻止了阿片类药物使用障碍患者寻求和接受治疗。在这些障碍得到克服，医疗实践发生改变之前，医生和患者都将继续努力克服这个问题。
