Identifying primary care skills and competencies in opioid risk management.
Identifying primary care skills and competencies in opioid risk management.
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确定阿片类药物风险管理的初级保健技能和能力。
DOI：
10.1002/chp.20135
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发表时间：
2011
期刊：
影响因子：
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通讯作者：
Bond,Kathleen
中科院分区：
文献类型：
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作者：
Chiauzzi,Emil;Trudeau,KimberleeJ;Zacharoff,Kevin;Bond,Kathleen
初级保健医生（PCP）治疗高比例的慢性疼痛患者，但往往缺乏培训，如何评估和解决与阿片类药物处方相关的问题，当他们是治疗的适当组成部分。结果可能是他们可能会避免治疗这些患者，这可能导致疼痛治疗不足。本研究的目的是确定哪些技能和能力是最关键的PCPs，以有效地管理阿片类药物的风险治疗慢性pain.MethodsWe进行了1个小时的采访，16个全国知名的专家在初级保健，疼痛管理和成瘾。8人接受了初级专业人员培训，8人接受了专家培训。他们的回答被整理，然后在线呈现给参与者进行独立分类和评级。这些数据进行了分析，使用一个在线的概念图程序，它提供了一个创新的方法，总结和优先定性data.ResultsBased在此分析，项目被组织成10个集群，代表最关键的技能类别（“最适合”这些数据）。获得最高平均陈述评级的集群是“如何管理患有合并症的疼痛患者”。后续分析表明，专家们评价这一集群，和其他5个，显着高于PCP，这表明专家认为这些能力更重要的阿片类药物风险management.DiscussionUsing一个相对较小的样本和成本效益的技术（即，概念映射），关键PCP能力可以确定为潜在的列入继续教育和培训阿片类药物风险管理。
IntroductionPrimary care physicians (PCPs) treat a high proportion of chronic pain patients but often lack training about how to assess and address issues associated with prescribing opioids when they are an appropriate component of therapy. The result may be that they may avoid treating these patients, which can lead to an undertreatment of pain. The objective of this study was to identify which skills and competencies are most critical for PCPs in order to effectively manage opioid risk in patients treated for chronic pain.MethodsWe conducted 1‐hour interviews with 16 nationally known experts in primary care, pain management, and addiction. Eight were trained as PCPs, and 8 were trained as specialists. Their responses were collated and then presented online to the participants for independent sorting and rating. These data were analyzed using an online concept mapping program, which offers an innovative method of summarizing and prioritizing qualitative data.ResultsBased on this analysis, items were organized into 10 clusters representing the most critical categories of skills (the “best fit” for these data). The cluster that received the highest average statement rating was “How to Manage Pain Patients With Comorbid Conditions.” Follow‐up analyses indicated that specialists rated this cluster, and 5 others, significantly higher than the PCPs, suggesting that the specialists perceive these competencies as more important in opioid risk management.DiscussionUsing a relatively small sample and cost‐effective technique (ie, concept mapping), key PCP competencies can be identified for potential inclusion in continuing education and training in opioid risk management.