Physician blame and vulnerability: novel predictors of physician willingness to work with patients who misuse opioids.
Physician blame and vulnerability: novel predictors of physician willingness to work with patients who misuse opioids.
复制标题
DOI：
10.1186/s13722-021-00242-w
复制
发表时间：
2021-05-25
影响因子：
3.7
通讯作者：
Brook DL
中科院分区：
文献类型：
--
作者：
Franz B;Dhanani LY;Brook DL
成功应对阿片类药物危机需要滥用阿片类药物的患者获得肯定和有效的医疗保健。然而，愿意为这些患者工作的医生短缺。我们调查了可能导致医生不愿意与这一患者群体接触的新预测因素，以更好地识别和指导干预措施，以改善医生的态度。在俄亥俄州获得委员会认证的333名医生完成了一项关于他们与滥用阿片类药物的患者合作意愿的调查。使用多变量回归测试了所提出的预测因素和与该患者人群合作的意愿之间的假设关系，并补充了对成瘾原因问题的开放文本响应的定性分析。阿片类药物滥用和成瘾，阿片类药物滥用和成瘾可控性，以及医疗保健提供者对阿片类药物危机的指责的个人无敌性的看法与医生愿意与滥用阿片类药物的患者一起工作呈负相关，在控制了已知的医生对物质使用障碍患者的偏见预测因素后。在家庭和内科，成瘾医学和急诊医学工作的医生也更愿意与这一患者群体合作。远离自己和医疗保健专业人员滥用阿片类药物，并将责任归咎于滥用者与治疗意愿呈负相关。提高医生与滥用阿片类药物的患者合作意愿的干预措施可以将这些信念作为改善医生态度和为患者提供所需医疗保健资源的一种方式。在线版本包含补充材料，可通过10.1186/s13722-021-00242-w获得。
Successfully combating the opioid crisis requires patients who misuse opioids to have access to affirming and effective health care. However, there is a shortage of physicians who are willing to work with these patients. We investigated novel predictors of what might be contributing to physicians’ unwillingness to engage with this patient population to better identify and direct interventions to improve physician attitudes. 333 physicians who were board certified in the state of Ohio completed a survey about their willingness to work with patients who misuse opioids. The hypothesized relationships between the proposed predictors and willingness to work with this patient population were tested using multivariate regression, supplemented with qualitative analysis of open-text responses to questions about the causes of addiction. Perceptions of personal invulnerability to opioid misuse and addiction, opioid misuse and addiction controllability, and health care provider blame for the opioid crisis were negatively associated with physician willingness to work with patients who misuse opioids after controlling for known predictors of physician bias toward patients with substance use disorders. Physicians working in family and internal medicine, addiction medicine, and emergency medicine were also more willing to work with this patient population. Distancing oneself and health care professionals from opioid misuse and placing blame on those who misuse are negatively associated with treatment willingness. Interventions to improve physician willingness to work with patients who misuse opioids can target these beliefs as a way to improve physician attitudes and provide patients with needed health care resources. The online version contains supplementary material available at 10.1186/s13722-021-00242-w.
登录
查看更多内容
影响因子：
39.2
作者：
Schranz, Asher J.;Fleischauer, Aaron;Rosen, David L.
通讯作者：
Rosen, David L.
影响因子：
17.7
作者：
Brady, Kathleen T.;McCauley, Jenna L.;Back, Sudie E.
通讯作者：
Back, Sudie E.
影响因子：
8.2
作者：
von Hippel, William;Brener, Loren;von Hippel, Courtney
通讯作者：
von Hippel, Courtney
影响因子：
4.6
作者：
Perlman DC;Jordan AE
通讯作者：
Jordan AE
影响因子：
12.7
作者：
Zibbell, Jon E.;Asher, Alice K.;Holtzman, Deborah
通讯作者：
Holtzman, Deborah