Clinician Perceptions of Receiving Different Forms of Feedback on their Opioid Prescribing.

IF 1 4区 医学 Q4 HEALTH CARE SCIENCES & SERVICES American Journal of Medical Quality Pub Date : 2023-01-01 DOI:10.1097/JMQ.0000000000000092
Tamar Klaiman, Maria N Nelson, Xiaowei S Yan, Amol S Navathe, Mitesh S Patel, Farah Refai, M Kit Delgado, David R Pagnotti, Joshua M Liao
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引用次数: 1

Abstract

Opioid misuse represents a major public health issue in the United States. One driver is overprescription for acute pain, with the size of initial prescription associated with subsequent long-term use. However, little work has been done to elicit clinician feedback about interventions to reduce opioid prescribing. To address this knowledge gap, qualitative analyses were conducted with clinicians who participated in a randomized controlled trial in which clinicians received monthly emailed feedback notifications about their opioid prescribing behaviors. Semistructured telephone interviews were conducted (N = 12) with urgent care (N = 7) and emergency department (N = 5) clinicians who participated in the trial between November 2020 and April 2021. Clinicians appreciated feedback about their prescribing behavior and found comparative data with peer clinicians to be most useful. Sharing opioid prescribing feedback data with clinicians can be an acceptable way to address opioid prescribing among emergency and urgent care clinicians.

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临床医生对阿片类药物处方收到不同形式反馈的看法。
阿片类药物滥用是美国的一个主要公共卫生问题。一个驱动因素是急性疼痛的过度处方,初始处方的大小与随后的长期使用有关。然而,关于减少阿片类药物处方的干预措施,很少有临床医生的反馈。为了解决这一知识差距,对参加随机对照试验的临床医生进行了定性分析,临床医生每月收到有关其阿片类药物处方行为的电子邮件反馈通知。在2020年11月至2021年4月期间,对参加试验的急诊(N = 7)和急诊科(N = 5)临床医生进行了半结构化电话访谈(N = 12)。临床医生欣赏关于他们开处方行为的反馈,并发现与同行临床医生的比较数据是最有用的。与临床医生分享阿片类药物处方反馈数据是解决急诊和紧急护理临床医生开具阿片类药物处方问题的一种可接受的方式。
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来源期刊
CiteScore
1.90
自引率
7.10%
发文量
124
审稿时长
6-12 weeks
期刊介绍: The American Journal of Medical Quality (AJMQ) is focused on keeping readers informed of the resources, processes, and perspectives contributing to quality health care services. This peer-reviewed journal presents a forum for the exchange of ideas, strategies, and methods in improving the delivery and management of health care.
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