Abstract:
BACKGROUND:Methadone is one of the most important medications used for the treatment of refractory pain in the palliative care setting, and is usually initially prescribed by one of a limited number of physicians who have acquired authorization for its use. A lack of authorized physicians able to take over prescribing when the patient is stable is a barrier to accessing methadone for analgesia. OBJECTIVE:To determine the barriers to family physicians becoming authorized to prescribe methadone for pain in palliative care. METHODS:A survey exploring the perceived barriers to continuing methadone for pain in palliative care following initial prescription by a specialist was mailed to a randomly selected group of 870 family physicians in British Columbia. RESULTS:The response rate was 30.9%. Of the 204 responding physicians, 76.1% described themselves as positioned to provide ongoing palliative care to their patients. Within this group, 38 (18.6%) were already authorized to prescribe methadone for pain. The remaining 166 (81.4%) had significant knowledge deficits regarding methadone use in palliative care, but were largely aware of their deficits, and more than one-half were willing to learn more and to obtain an authorization if requested. CONCLUSIONS:Responding family physicians had mostly received little education regarding methadone for pain, but were aware of their need for education and were willing to learn. Physicians who had already become authorized were generally satisfied with the process of authorization, and believed the process of education through authorization was appropriate and not onerous.
journal_name
Pain Res Managjournal_title
Pain research & managementauthors
Hawley P,Liebscher R,Wilford Jdoi
10.1155/2013/740379subject
Has Abstractpub_date
2013-03-01 00:00:00pages
83-6issue
2eissn
1203-6765issn
1918-1523journal_volume
18pub_type
杂志文章abstract:Purpose:We aimed to present our experience in anchoring technique and evaluate the efficacy and safety of unilateral percutaneous vertebroplasty in patients with neurologically intact Kümmell's disease. Methods:From January 2014 to December 2017, 29 patients (17 males and 12 females) with neurologically intact Kümmell...
journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2020/4145096
更新日期:2020-05-24 00:00:00
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journal_title:Pain research & management
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2014/745458
更新日期:2014-07-01 00:00:00
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journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2013/148392
更新日期:2013-09-01 00:00:00
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journal_title:Pain research & management
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1155/2020/8751958
更新日期:2020-04-25 00:00:00
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journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2017/4830142
更新日期:2017-01-01 00:00:00
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journal_title:Pain research & management
pub_type: 临床试验,杂志文章
doi:10.1155/2002/502984
更新日期:2002-10-01 00:00:00
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journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2013/796161
更新日期:2013-11-01 00:00:00
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journal_title:Pain research & management
pub_type: 杂志文章
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journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2012/350654
更新日期:2012-03-01 00:00:00
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journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2016/8617182
更新日期:2016-01-01 00:00:00
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journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2020/3740162
更新日期:2020-02-10 00:00:00
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journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2019/6393101
更新日期:2019-01-03 00:00:00
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journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2014/623830
更新日期:2014-07-01 00:00:00
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journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2020/3408928
更新日期:2020-07-30 00:00:00
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journal_title:Pain research & management
pub_type: 杂志文章,评审
doi:10.1155/2020/7565962
更新日期:2020-01-30 00:00:00
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journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2020/6294151
更新日期:2020-04-13 00:00:00
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journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2007/658762
更新日期:2007-07-01 00:00:00
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journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2011/534652
更新日期:2011-09-01 00:00:00
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journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2009/468321
更新日期:2009-07-01 00:00:00
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journal_title:Pain research & management
pub_type: 杂志文章,meta分析
doi:10.1155/2001/213030
更新日期:2001-04-01 00:00:00
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journal_title:Pain research & management
pub_type: 杂志文章,随机对照试验
doi:10.1155/2014/195286
更新日期:2014-01-01 00:00:00
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journal_title:Pain research & management
pub_type: 临床试验,杂志文章
doi:10.1155/2009/497217
更新日期:2009-03-01 00:00:00
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pub_type: 历史文章,杂志文章
doi:10.1155/2001/469629
更新日期:2001-07-01 00:00:00
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journal_title:Pain research & management
pub_type: 杂志文章,随机对照试验
doi:10.1155/2018/2132039
更新日期:2018-04-05 00:00:00
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journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2008/240573
更新日期:2008-05-01 00:00:00
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journal_title:Pain research & management
pub_type: 杂志文章,随机对照试验
doi:10.1155/2016/4261949
更新日期:2016-01-01 00:00:00
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journal_title:Pain research & management
pub_type: 杂志文章,评审
doi:10.1155/2016/8458696
更新日期:2016-01-01 00:00:00
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journal_title:Pain research & management
pub_type: 杂志文章,评审
doi:10.1155/2016/3652726
更新日期:2016-01-01 00:00:00
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journal_title:Pain research & management
pub_type: 共识发展会议,杂志文章,实务指引
doi:10.1155/2007/730785
更新日期:2007-04-01 00:00:00