Biesiada Aleksander Michał, Ciałkowska-Rysz Aleksandra, Mastalerz-Migas Agnieszka
Family Physician Office S&M Ltd., 31-123 Krakow, Poland.
Polish Society of Family Medicine, 51-141 Wroclaw, Poland.
Healthcare (Basel). 2024 Jan 16;12(2):217. doi: 10.3390/healthcare12020217.
Primary care physicians play a key role in initiating opioid therapy. However, knowledge gaps in opioid use and pain management are significant barriers to providing optimal care. This research study aims to investigate the educational needs of primary care physicians regarding opioid therapy and opioid use in pain management.
A computer-assisted web interview (CAWI) protocol was used to collect data from primary care physicians. Drug selection criteria, knowledge of opioid substitutes and dosage, and practical use of opioid therapy were evaluated.
While 84% of participating physicians (724 respondents) reported initiating opioid treatment, only a minority demonstrated accurate opioid dosage calculations. Significant discrepancies between physicians' self-perceived knowledge and their clinical skills in opioid prescribing and pain management were observed. In total, 41% of physicians incorrectly indicated dose conversion rates for tramadol (the most frequently used drug according to 65% of responders).
Targeted educational programs are essential to bridge the knowledge gap and increase physicians' competence in pain management. The proper self-assessment of one's own skills may be the key to improvement. Further research should focus on developing specialized educational courses and decision-support tools for primary care physicians and examining the impact of interprofessional pain management teams on patient outcomes.
初级保健医生在启动阿片类药物治疗中起着关键作用。然而，阿片类药物使用和疼痛管理方面的知识差距是提供最佳护理的重大障碍。本研究旨在调查初级保健医生在阿片类药物治疗和疼痛管理中使用阿片类药物方面的教育需求。
采用计算机辅助网络访谈（CAWI）方案从初级保健医生收集数据。评估了药物选择标准、阿片类药物替代品和剂量的知识以及阿片类药物治疗的实际使用情况。
虽然84%的参与医生（724名受访者）报告启动了阿片类药物治疗，但只有少数人能准确计算阿片类药物剂量。观察到医生在阿片类药物处方和疼痛管理方面的自我认知知识与临床技能之间存在显著差异。总体而言，41%的医生错误地指出了曲马多的剂量转换率（根据65%的受访者，曲马多是最常用的药物）。
有针对性的教育项目对于弥合知识差距和提高医生在疼痛管理方面的能力至关重要。对自身技能进行适当的自我评估可能是改进的关键。进一步的研究应侧重于为初级保健医生开发专门的教育课程和决策支持工具，并研究跨专业疼痛管理团队对患者结局的影响。
