Shared Responsibility: Massachusetts Legislators, Physicians, and An Act Relative to Substance Use Treatment, Education, and Prevention.

Shared Responsibility: Massachusetts Legislators, Physicians, and An Act Relative to Substance Use Treatment, Education, and Prevention.
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共同责任:马萨诸塞州立法者、医生以及与药物使用治疗、教育和预防相关的法案。

DOI:
10.1001/journalofethics.2016.18.9.pfor2-1609
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发表时间:
2016
影响因子:
--
通讯作者:
H. Jack
H. Jack
中科院分区:
--
文献类型:
--
作者:
M. Rudder;L. Tsao;H. Jack

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最近通过的马萨诸塞州法律《药物使用、治疗、教育和预防法》是一项令人钦佩的公共卫生措施,用于治疗药物使用障碍(SUD),这是一种影响社会最脆弱人群的耻辱化慢性疾病。由于首次阿片类药物处方的七天供应限制,这项立法对州政府参与医疗保健采取了不寻常的做法。通过干预个别医生的做法,州立法者进入了传统上为临床团队保留的空间。七天的供应限制及其制定过程突出了医生和立法者之间相互竞争的优先事项和对话,医生自我调节的限制以及政策制定和医疗保健的证据标准。解决这些问题需要医生和立法者认识到并履行新的责任,以便更好地帮助他们所服务的人群。
Recent passage of the Massachusetts law, An Act Relative to Substance Use, Treatment, Education, and Prevention, represents an admirable public health approach to substance use disorder (SUD), a stigmatized chronic disease that affects some of society's most vulnerable people. With its seven-day supply limit on first-time opioid prescriptions, this legislation takes an unusual approach to state government involvement in health care. By intervening in individual physicians' practices, state legislators have entered a space traditionally reserved for clinical teams. The seven-day supply limit and the process through which it was developed highlight competing priorities and dialogue between physicians and legislators, limits of physician self-regulation, and standards of evidence in policy making and health care. Addressing these issues requires both physicians and legislators to recognize and fulfill new responsibilities in order to better assist the populations they serve.
扭转阿片类药物过度处方的策略。
DOI: 10.1001/jamainternmed.2015.5946
发表时间: 2016
影响因子: 39
作者:
Wright,AileenP;Becker,WilliamC;Schiff,GordonD
通讯作者: Schiff,GordonD
DOI: 10.1016/j.pmn.2012.08.008
发表时间: 2014-03
影响因子: 1.7
作者:
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