务实、以人为本的美国大麻观:追求超越信仰的关怀。

IF 2.8 3区 医学 Q2 SUBSTANCE ABUSE Substance abuse Pub Date : 2023-10-01 Epub Date: 2023-10-30 DOI:10.1177/08897077231202836
Hannah G Bosley, Juan M Peña, Andrew D Penn, James L Sorensen, Matthew Tierney, Annesa Flentje
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引用次数: 0

摘要

背景:美国大麻使用率正在上升,这可能是社会态度变化和合法化扩大的结果。尽管许多患者报告说,他们希望与临床提供者讨论使用大麻的风险和益处,但许多提供者对大麻的使用持有相互矛盾的信念,并且往往不让患者参与有关大麻的讨论。大麻相关研究的局限性,以及临床医生在处理患者使用大麻问题时缺乏基于经验的最佳实践指南,突显了这一困境。目的:我们旨在简要总结临床医生和患者对大麻使用的态度,审查当前的临床指南,并提供建议,以帮助医疗保健提供者和临床医生在与患者讨论大麻使用时提高舒适度和技能。方法:对大麻使用态度和临床指南进行叙述性综述,总结文献并提供循证建议。结果:对大麻使用的态度受到个人和政治因素的影响,导致临床医生在与患者谈论这个话题时犹豫不决。行政障碍阻碍了制定更明确的公共卫生准则,这些准则可能有助于传播关于大麻使用对健康影响的循证信息,并可能最终带来更好的健康结果。结论:不与患者讨论大麻使用可能是减少伤害的关键错失机会。在缺乏经验支持的最佳实践指南的情况下,以人为中心的方法可以促进关于大麻使用的危害和好处的对话。
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A Pragmatic, Person-Centered View of Cannabis in the United States: Pursuing Care That Transcends Beliefs.

Background: Rates of cannabis use are increasing in the United States, likely as a result of changes in societal attitudes and expanding legalization. Although many patients report wanting to discuss the risks and benefits of cannabis use with their clinical providers, many providers hold conflicting beliefs regarding cannabis use and often do not engage patients in discussion about cannabis. This dilemma is underscored by the limitations imposed on cannabis related research, and lack of empirically based best-practice guidelines for clinicians when addressing cannabis use with patients.

Objectives: We aimed to briefly summarize clinician and patient attitudes toward cannabis use and review current clinical guidelines and provide suggestions to assist health care providers and clinicians in increasing their comfort and skill in discussing cannabis use with patients.

Methods: A narrative review on attitudes toward cannabis use and clinical guidelines was performed to summarize the literature and provide evidence-based recommendations.

Results: Attitudes toward cannabis use have been shaped by personal and political factors and contribute to clinician hesitance in speaking with patients about the topic. Administrative barriers have hindered the development of clearer public health guidelines that might enable the dissemination of evidence-based information on the health effects of cannabis use and might ultimately lead to better health outcomes.

Conclusion: Not discussing cannabis use with patients may be a crucial missed opportunity for harm reduction. In the absence of empirically supported best-practice guidelines, a person-centered approach can facilitate conversations on the harms and benefits of cannabis use.

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来源期刊
Substance abuse
Substance abuse SUBSTANCE ABUSE-
CiteScore
5.90
自引率
2.90%
发文量
88
审稿时长
>12 weeks
期刊介绍: Now in its 4th decade of publication, Substance Abuse journal is a peer-reviewed journal that serves as the official publication of Association for Medical Education and Research in Substance Abuse (AMERSA) in association with The International Society of Addiction Medicine (ISAM) and the International Coalition for Addiction Studies in Education (INCASE). Substance Abuse journal offers wide-ranging coverage for healthcare professionals, addiction specialists and others engaged in research, education, clinical care, and service delivery and evaluation. It features articles on a variety of topics, including: Interdisciplinary addiction research, education, and treatment Clinical trial, epidemiology, health services, and translation addiction research Implementation science related to addiction Innovations and subsequent outcomes in addiction education Addiction policy and opinion International addiction topics Clinical care regarding addictions.
期刊最新文献
Cocaine Use is Associated With Increased LVMI in Unstably Housed Women With Polysubstance Use. Impact of Mandated Case Review Policy on Opioid Discontinuation and Mortality Among High-Risk Long-Term Opioid Therapy Patients: The STORM Stepped-Wedge Cluster Randomized Controlled Trial. Improving DEIB in Addiction Medicine Training Through Interdisciplinary Collaboration and Program Evaluation. Advancing Proficiencies for Health Professionals in the Treatment of Tobacco Use Among Marginalized Communities: Development of a Competency-Based Curriculum and Virtual Workshop. Care Practices of Mental Health Clinical Pharmacist Practitioners Within an Interdisciplinary Primary Care Model for Patients With Substance Use Disorders.
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