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首页> 外文期刊>The Journal of law, medicine & ethics: a journal of the American Society of Law, Medicine & Ethics >Opioid contracts and random drug testing for people with chronic pain - think twice.
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Opioid contracts and random drug testing for people with chronic pain - think twice.

机译:阿片类药物合约和针对慢性疼痛患者的随机药物测试-请三思而后行。

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摘要

The use of opioid contracts, which often require patients to submit to random drug screens, have become widespread amongst physicians using opioids to treat chronic pain. The main purpose of the contract is to improve care through better adherence to opioid therapy but there is little evidence as to its efficacy. The author suggests the use of opioid contracts and random drug testing destroys patients' trust which impacts health outcomes, and that physicians' motivation for their use are concerns about prosecution, medication abuse and misuse, and addiction. Statistics are provided to counter fears, and evidence is offered suggesting opioid contracts are unenforceable and lack efficacy; random drug testing is often inconclusive, and a patient's trust improves adherence to treatment.
机译:阿片类药物合同的使用通常要求患者接受随机药物筛查,在使用阿片类药物治疗慢性疼痛的医生中已经很普遍。该合同的主要目的是通过更好地坚持阿片类药物治疗来改善护理,但几乎没有证据表明其疗效。作者建议使用阿片类药物合同和随机药物检测会破坏患者对健康状况的信任,这会影响健康结果,并且医生使用它们的动机是对起诉,药物滥用和滥用以及成瘾的关注。提供了统计数据来消除恐惧,并提供了证据表明阿片类药物合同无法执行且缺乏疗效。随机药物测试通常是不确定的,患者的信任可以提高对治疗的依从性。

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