Physician-pharmacist collaboration on chronic non-cancer pain management during the opioid crisis: A qualitative interview study |
| |
| Affiliation: | 1. Eshelman School of Pharmacy, CB #7574, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599-7574, USA;2. Division of General Medicine and Clinical Epidemiology, Department of Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA;1. National Drug and Alcohol Centre, University of New South Wales, Sydney, Australia;2. Monash Addiction Research Centre, Monash University, Melbourne, Australia;3. Latrobe University, Bendigo, Victoria, Australia;4. Western Victoria Primary Health Network, Geelong, Victoria, Australia;5. School of Medicine, University of Tasmania, Hobart, Australia;6. National Drug Research Institute, Curtin University, Perth, Australia;7. The Centre for Population Health, Burnet Institute, Melbourne, Victoria, Australia;8. The School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia;9. Department of Epidemiology, Brown University School of Public Health, Rhode Island, USA;10. Boston Medical Center, Injury Prevention Center, Boston University School of Medicine, Boston, USA;11. Department of Addiction Medicine, University of Sydney, Sydney, Australia;12. Drug Policy Modelling Program, University of New South Wales, Sydney, Australia;1. School of Public Health, University of Adelaide, Australia;2. The Drug & Alcohol Services South Australia, SA Pharmacy, SA Health, Australia;1. Pharmaceutical Care Research Group, School of Pharmacy, University College Cork (UCC), Cork, Ireland;2. School of Pharmacy, University College Cork (UCC), Cork, Ireland;3. Pharmacy Department, Mercy University Hospital, Cork, Ireland;1. National Institute on Drug Abuse, National Institutes of Health, Bethesda, MD, USA;2. Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services, Washington, DC, USA |
| |
| Abstract: | BackgroundManagement of chronic non-cancer pain is complex, requiring clinicians to balance pain management with the risk of opioid abuse. The role of ambulatory care pharmacists in chronic pain management is well-established, but little research has explored the feasibility of building collaboration on chronic pain and opioid management between physicians and community pharmacists.ObjectiveTo explore physician and pharmacist perspectives on the opioid crisis and the possibility of physician and community pharmacist collaborations to manage chronic non-cancer pain in the context of the opioid crisis.MethodsSemi-structured interviews were performed with a snowball convenience sample 15 physicians and 25 pharmacists in North Carolina between November 2016 and April 2017. Transcribed data were analyzed using applied thematic analysis, and resulting codes were organized into themes and domains which emerged from analysis.ResultsBoth physicians and pharmacists described current care deficiencies and steps needed to mitigate opioid abuse and diversion. Physicians discussed the need for additional supports and resources for chronic pain management and regarded positively the role of the community pharmacist in chronic pain management and mitigating opioid abuse. Pharmacists identified cost as the major barrier to implementing new services, and expressed willingness to participate in new chronic pain and opioid interventions.ConclusionWithin the study sample, strong interest exists for collaboration between physicians and community pharmacists. This highlights a potential opportunity to expand care for patients with chronic non-cancer pain. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
