Physicians’ Knowledge of and Attitudes Toward Use of Opioids in Long‐Term Care Facilities

Griffioen, Charlotte; Willems, Eva G.; Kouwenhoven, Sanne M.; Caljouw, Monique A. A.; Achterberg, Wilco P.

doi:10.1111/papr.12492

Cited by 6 publications

(2 citation statements)

References 29 publications

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“…Leufkens for his contribution to this study and the Institutional Review Board of the Utrecht Institute for Pharmaceutical Sciences, Utrecht University, The Netherlands for reviewing the study protocol and questionnaire. This paper was prepared on behalf of the ATOME consortium which was composed of 10…”

Section: Acknowledgementsmentioning

confidence: 99%

“…Reported barriers include patients' reluctance to use opioids, inadequate staff knowledge of pain management, physicians' reluctance to prescribe opioids and complicated regulations. [10][11][12][13][14][15][16][17][18][19][20] A few studies have also examined the perception of barriers among healthcare decision and policy makers. 6,19,20 Identified barriers include lack of education and training, fear of dependence or diversion, limited financial resources and problems in opioid manufacturing, storage and distribution.…”

Section: Introductionmentioning

confidence: 99%

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The perception of barriers concerning opioid medicines: A survey examining differences between policy makers, healthcare professionals and other stakeholders

et al. 2019

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Background: In many countries, the consumption of opioid medicines is too low to meet population needs. Discussions within the Access To Opioid Medication in Europe project indicated that there may be significant differences in the perception of barriers for their adequate use, depending on the stakeholders. Aim: The aim of this study was to examine the perception of barriers and their impact concerning opioid medicines, comparing policy makers, healthcare professionals working in the field of pain management, palliative care or harm reduction and other stakeholders. Design: Data were collected using a questionnaire partially constructed from existing surveys, reviewed for content validity by four experts and pilot-tested in Latvia. Setting/participants: Participants of the Access to Opioid Medication in Europe national conferences were invited to complete the questionnaire. Stakeholder groups were compared using non-parametric rank-sum tests. Results: In total, 199 participants (54%) in seven countries completed the questionnaire. Most frequently rated major barriers included lack of financial resources and inadequate knowledge, skills and training among policy makers (55%–66%). Overall, policy makers perceived issues less often as major barriers or having major impact (29% barrier, 32% impact) compared to other stakeholders (36%–42% barrier, 39%–51% impact). Significant differences were seen on several aspects. For example, excessive regulation or bureaucracy for prescribing was rated as having major impact by 55%–57% of healthcare professionals in contrast to only 20% of the policy makers ( p = 0.002). Conclusion: Multiple barriers may play an important role, partly depending on the perspective of the stakeholder involved. Hence, when addressing perceived barriers, it is important to include all relevant stakeholder groups. Only then, effective and widely supported solutions can be implemented.

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Section: Acknowledgementsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The perception of barriers concerning opioid medicines: A survey examining differences between policy makers, healthcare professionals and other stakeholders

et al. 2019

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Special High-Risk Populations in Dentistry

Magee¹,

Magnuson

Aroni

2020

Dental Clinics of North America

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Factors influencing trends in opioid prescribing for older people: a scoping review

Mikelyte

Abrahamson

Hill

et al. 2020

Prim Health Care Res Dev

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Aim: The review aimed to identify factors influencing opioid prescribing as regular pain-management medication for older people. Background: Chronic pain occurs in 45%–85% of older people, but appears to be under-recognised and under-treated. However, strong opiate prescribing is more prevalent in older people, increasing at the fastest rate in this age group. Methods: This review included all study types, published 1990–2017, which focused on opioid prescribing for pain management among older adults. Arksey and O’Malley’s framework was used to scope the literature. PubMed, EBSCO Host, the UK Drug Database, and Google Scholar were searched. Data extraction, carried out by two researchers, included factors explaining opioid prescribing patterns and prescribing trends. Findings: A total of 613 papers were identified and 53 were included in the final review consisting of 35 research papers, 10 opinion pieces and 8 grey literature sources. Factors associated with prescribing patterns were categorised according to whether they were patient-related, prescriber-driven, or system-driven. Patient factors included age, gender, race, and cognition; prescriber factors included attitudes towards opioids and judgements about ‘normal’ pain; and policy/system factors related to the changing policy landscape over the last three decades, particularly in the USA. Conclusions: A large number of context-dependent factors appeared to influence opioid prescribing for chronic pain management in older adults, but the findings were inconsistent. There is a gap in the literature relating to the UK healthcare system; the prescriber and the patient perspective; and within the context of multi-morbidity and treatment burden.

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Physicians’ Knowledge of and Attitudes Toward Use of Opioids in Long‐Term Care Facilities

Cited by 6 publications

References 29 publications

The perception of barriers concerning opioid medicines: A survey examining differences between policy makers, healthcare professionals and other stakeholders

The perception of barriers concerning opioid medicines: A survey examining differences between policy makers, healthcare professionals and other stakeholders

Special High-Risk Populations in Dentistry

Factors influencing trends in opioid prescribing for older people: a scoping review

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