| State medical board members' beliefs about pain, addiction, and diversion and abuse: a changing regulatory environment. | |
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MedLine Citation:
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PMID: 17627894 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Three national surveys were conducted in 1991, 1997, and 2004 to evaluate state medical board members' knowledge and attitudes about prescribing opioid analgesics for pain management. Topics addressed include perceived legality of prolonged opioid prescribing, characteristics of addiction, prevalence of medication abuse and diversion, and perceived importance and influence of medical board policy. Questions were added in 2004 to determine board members' views about law enforcement involvement in physician investigations and prosecutions. This study assesses medical regulators' current beliefs and compares the 2004 responses with previous responses to determine how knowledge and attitudes about prescribing opioids have changed in recent years. Survey results show that board members have a greater understanding of pain management issues, particularly regarding characteristics of addiction and the legality of prolonged opioid prescribing for chronic noncancer pain. During the last 15 years, there has been substantial regulatory policy development, with medical boards adopting regulations, guidelines, or policy statements to provide guidance to licensees about using opioids to treat pain. However, many board members believe that federal and state law enforcement agencies have increased criminal investigations and prosecutions of physicians. We discuss appropriate regulatory and law enforcement responses to opioid prescribing violations, and suggest crucial next steps. PERSPECTIVE: The authors examine the evolution of state medical board members' knowledge and attitudes about prescribing opioid analgesics to treat chronic pain, demonstrate that medical regulators believe that there have been increased criminal investigations and prosecutions of physicians for their prescribing practices, and suggest ways to avoid unwarranted criminal prosecutions. |
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Authors:
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Aaron M Gilson; Martha A Maurer; David E Joranson |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2007-07-12 |
Journal Detail:
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Title: The journal of pain : official journal of the American Pain Society Volume: 8 ISSN: 1526-5900 ISO Abbreviation: J Pain Publication Date: 2007 Sep |
Date Detail:
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Created Date: 2007-09-10 Completed Date: 2007-11-20 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100898657 Medline TA: J Pain Country: United States |
Other Details:
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Languages: eng Pagination: 682-91 Citation Subset: IM |
Affiliation:
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Pain and Policy Studies Group, Comprehensive Cancer Center, University of Wisconsin, Madison, Wisconsin 53711-1068, USA. amgilson@wisc.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Analgesics, Opioid
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therapeutic use* Attitude to Health* Chronic Disease Clinical Competence* Criminal Law / legislation & jurisprudence*, trends Drug Utilization Drug and Narcotic Control / legislation & jurisprudence*, trends Federal Government Humans Licensure, Medical* Middle Aged Opioid-Related Disorders / prevention & control* Pain / drug therapy* Pain Clinics / legislation & jurisprudence, standards Physician's Practice Patterns Practice Guidelines as Topic Questionnaires Specialty Boards / standards, trends* State Government Wisconsin |
| Chemical | |
Reg. No./Substance:
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0/Analgesics, Opioid |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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