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首页> 外文期刊>Journal of public health management and practice: JPHMP >Proper Disposal of Prescription Opioids in Southwest Virginia: Assessment of Patient, Physician, and Medical Student Beliefs and Practices
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Proper Disposal of Prescription Opioids in Southwest Virginia: Assessment of Patient, Physician, and Medical Student Beliefs and Practices

机译：弗吉尼亚州西南部的处方阿片类药物的适当处置：患者，医师和医学学生信仰和做法的评估

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Supplemental Digital Content is Available in the Text. Context: Southwestern Virginia demonstrates the highest regional mortality rate from prescription opioid overdoses. Nationally, 65% of patients misusing opioid medications received them from friends and family, underscoring the need for effective disposal of unused narcotics. Objectives: (1) To understand patient, provider, and medical student beliefs and misconceptions regarding proper methods of opioid disposal; (2) to characterize discrepancies that exist between patient self-reported habits and medical student/provider perceptions of opioid usage, disposal, and diversion. Design: Descriptive, cross-sectional, observational study. Setting: Large, nonprofit health care organization and allopathic medical school in Southwestern Virginia. Participants: All ambulatory patients 18 years or older presenting for elective consultation at health system orthopedics department; all institutionally employed physicians with active system e-mail addresses; and all current students at the associated medical school. Main Outcomes/Measures: Patients : The number who had received information regarding proper methods of opioid disposal, intended disposal method, methods of disposal considered appropriate, comfort level with opioid disposal, and demographic data. Physicians and Medical Students : The number who had received instruction regarding proper methods of opioid disposal, acceptable means of opioid disposal, most appropriate disposal method, disposal method most likely to be employed by patients, practice profile/prescribing data, and medical school year. Results: In total, 64% of patients (n = 255/750) had never received instruction from a physician regarding opioid disposal; 56% of physicians (n = 212/732) and 78% (n = 80/171) of medical students indicated that they never received formal instruction regarding methods of disposal. The majority of physicians believed that their patients are most likely to use in-home methods of disposal or store prescription medications for future use; 61% of patients indicated a preference for accessible disposal facilities. Conclusions: The discrepancy between patient and physician responses highlights a lack of communication regarding disposal of unused opioid medications and is a target for future intervention.
机译：文本中提供了补充数字内容。背景：弗吉尼亚州西南部展示了处方阿片类药物过量的最高区域死亡率。全国各地，65％的患者滥用阿片类药物从朋友和家庭接受了他们，强调需要有效处置未使用的麻醉品。目标：（1）了解患者，提供者和医学学生的信仰和关于表述处理的适当方法的误解; （2）表征患者自我报告习惯和医学学生/提供者对阿片类药物使用，处置和转移的看法之间存在的差异。设计：描述性，横截面，观测研究。环境：弗吉尼亚州西南部的大型，非营利保健组织和疗法医学院。参与者：卫生系统骨科部门的选修课程18岁或以上的所有动态患者;所有机构使用具有主动系统电子邮件地址的医生;以及所有现有医学院的学生。主要成果/措施：患者：收到有关适当的阿片类药物处理方法，预期的处置方法，处置方法，审查适当，舒适程度，具有表述处理和人口统计数据的数量。医师和医学生：接受了关于适当的阿片类药物处理方法，可接受的阿片类药物处理方法，最适当的处置方法，患者最有可能雇用的处理方法，练习概况/处方数据和医学学年。结果：总共64％的患者（N = 255/750）从未接受过ImoIPIAD处理的医生的指示; 56％的医生（n = 212/732）和78％（n = 80/171）的医学生表明他们从未接受过正式的有关使用方法的指示。大多数医生认为，他们的患者最有可能使用家庭的处置或储存处方药物以供将来使用; 61％的患者表示偏好可访问的处置设施。结论：患者和医师的反应之间的差异突出了有关未使用的阿片类药物的处置缺乏沟通，并且是未来干预的目标。

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