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首页> 外文期刊>Journal of the American Pharmaceutical Association: APhA >Pharmacists' knowledge of and attitudes toward opioid pain medications in relation to federal and state policies.
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Pharmacists' knowledge of and attitudes toward opioid pain medications in relation to federal and state policies.

机译：药剂师对与联邦和州政策相关的阿片类止痛药的知识和态度。

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OBJECTIVE: To assess Wisconsin pharmacists' knowledge of and attitudes toward the use of opioid analgesics in the management of chronic cancer and noncancer pain, and to explore the potential for these beliefs to interfere with pharmacist dispensing, the last link of the distribution chain of controlled substances to patients. DESIGN: Mail survey. SETTING: Urban and rural pharmacies, long-term care facilities, hospitals, and outpatient clinics in Wisconsin in 1998. PATIENTS OR OTHER PARTICIPANTS: Representative sample of Wisconsin pharmacists. INTERVENTIONS: None. MAIN OUTCOME MEASURES: Responses to self-administered questionnaires. RESULTS: Although most respondents were knowledgeable about the issues addressed in this study, there were important exceptions. Not all pharmacists knew what constitutes legitimate dispensing practices for controlled substances under federal or state policy in emergencies or for patients with terminal illnesses, and many were unaware of the important distinctions among addiction, physical dependence, and tolerance. Many respondents did not view the chronic prescribing/dispensing of opioids for more than several months to patients with chronic pain of malignant or nonmalignant origin as a lawful and acceptable medical practice; this was especially true when the patient had a history of opioid abuse. CONCLUSION: Pharmacists play a pivotal role in ensuring patient access to medications. Viewed in the context of federal and state controlled substances policies, our findings suggest that the incorrect knowledge and inappropriate attitudes of some pharmacists could contribute to a failure to dispense valid prescriptions for opioid analgesics to patients in pain.
机译：目的：评估威斯康星州药剂师对使用阿片类镇痛药治疗慢性癌症和非癌性疼痛的知识和态度，并探讨这些信念可能干扰药剂师的分配，这是受控分销链的最后一个环节物质给病人。设计：邮件调查。地点：1998年在威斯康星州的城市和乡村药店，长期护理机构，医院和门诊诊所。患者或其他参与者：威斯康星州药剂师的代表性样本。干预措施：无。主要观察指标：对自我管理问卷的回答。结果：尽管大多数受访者都了解本研究中解决的问题，但也有一些重要的例外。并非所有的药剂师都知道什么构成紧急情况下联邦或州政策下的受控物质或患有晚期疾病的患者的合法配药做法，而且许多人没有意识到成瘾，身体依赖性和耐受性之间的重要区别。许多答复者认为，对患有恶性或非恶性起源的慢性疼痛的患者进行阿片类药物的长期处方/分配不超过几个月，这是合法且可以接受的医疗实践;当患者有阿片类药物滥用史时尤其如此。结论：药剂师在确保患者获得药物方面起着关键作用。从联邦和州控制药物政策的角度来看，我们的发现表明某些药剂师的错误知识和不当态度可能导致未能向痛苦中的患者分配有效的阿片类镇痛药处方。

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