A recent history of opioid use in the US: Three decades of change
A recent history of opioid use in the US: Three decades of change
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DOI：
10.1080/10826084.2018.1517175
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发表时间：
2019-01-28
影响因子：
2
通讯作者：
Foster, Howell R.
中科院分区：
文献类型：
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作者：
Dayer, Lindsey E.;Painter, Jacob T.;Foster, Howell R.
背景：阿片类药物在美国的流行是一个已经发展了几十年的问题。虽然已经实施了临床、监管和立法方面的变化来解决这个问题，但这些变化不会立即发生。此外，已经进行的变革可能会产生意想不到的负面后果，例如非法阿片类药物的使用增加（例如，海洛因和合成毒品）以及有效和适当的疼痛管理方面的挑战。目的：本综述侧重于过去三十年，并介绍了美国在阿片类药物使用方面的主要变化。结论/重要性：在美国，已经有许多旨在减少阿片类药物使用和滥用的政策变化和计划;然而，临床医生，公众和政策制定者的心态需要发生重大转变，以缓解这一流行病。
Background: The opioid epidemic in the United States is a problem that has developed over decades. While clinical, regulatory, and legislative changes have been implemented to combat this issue, changes will not be immediate. Moreover, the changes that have been carried out may have unintended negative consequences such as increased use of illicit opioids (e.g., heroin and synthetics) and challenges in effective and appropriate pain management. Objectives: This review focuses on the last three decades and presents key changes the United States has seen in the use of opioids. Conclusions/Importance: There have been numerous policy changes and programs aimed at decreasing opioid use and abuse in the United States; however, it will take a major shift in the mindset of clinicians, the general public, and policy makers to alleviate this epidemic.