Doctor Shopping: A Concept Analysis
Doctor Shopping: A Concept Analysis
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医生购物：概念分析
DOI：
--
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发表时间：
2012
影响因子：
0.6
通讯作者：
Joanne M. Hall
中科院分区：
文献类型：
--
作者：
Julie A. Worley;Joanne M. Hall
处方药滥用是美国的一个重要问题，对美国人造成严重的健康风险，因此对护理领域具有重要意义。在美国被指定为具有滥用潜力的处方药被称为受控或预定药物。最常见的滥用处方药类型是用于焦虑的苯二氮卓类药物、用于疼痛的阿片类药物和用于注意力缺陷障碍的兴奋剂。这些处方药被滥用，服用比非医疗用途更大的剂量，以达到高或欣快的感觉，或被出售非法牟利。2009年，美国有240万处方阿片类药物的非医疗使用者。这些处方药往往是通过看多个处方者获得的，往往是在虚假的借口下或与处方者合谋，导致滥用和非法销售。“医生购物”一词不仅被用来指这种现象，而且在过去几十年中还有其他含义。因此，概念分析是本文的重点，用步行者和先锋的方法进行澄清。健康的影响和建议，尽量减少医生购物。
Prescription drug abuse is a significant problem in the United States that poses a serious health risk to Americans and is therefore significant to the field of nursing. The prescription drugs that are designated in the United States as having abuse potential are called controlled or scheduled drugs. The most common types of abused prescription drugs are benzodiazepines prescribed for anxiety, opioids prescribed for pain, and stimulants prescribed for attention deficit disorder. These prescription drugs are abused by taking larger doses than prescribed for nonmedical use to achieve a high or euphoric feeling, or are sold illicitly for profit. In 2009, there were 2.4 million nonmedical users of prescription opioids in the United States. These prescription drugs are often obtained by seeing multiple prescribers, often under false pretenses or with complicity from the prescribers that leads to abuse and illicit sales. The term doctor shopping has been used not only to refer to this phenomenon but has also had other meanings throughout the past decades. Thus, concept analysis is the focus of this article for clarification using the Walker and Avant method. Health implications and suggestions for minimizing doctor shopping are included.