Prescription opioid use and misuse: Piloting an educational strategy for rural primary care physicians

Canadian Family Physician

Volumn 58, Issue 4, 2012, Pages

  Srivastava, Anita ^a,b,c   Kahan, Meldon ^a,b,d   Jiwa, Ashifa ^e,f  

^a UNIVERSITY OF TORONTO   (Canada)

^b ST JOSEPH S HEALTH CENTRE   (Canada)

^c CENTRE FOR ADDICTION AND MENTAL HEALTH   (Canada)

^d Addiction Medicine Service   (Canada)

^e ST MICHAEL'S HOSPITAL   (Canada)

^f Sioux Lookout Zone and Meno Ya Win Health Centre   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

NARCOTIC ANALGESIC AGENT;

ARTICLE; CHRONIC PAIN; COHORT ANALYSIS; DRUG MISUSE; DRUG USE; GENERAL PRACTITIONER; HUMAN; MEDICAL EDUCATION; PATIENT ATTITUDE; PATIENT EDUCATION; PATIENT MONITORING; PHYSICIAN ATTITUDE; PRESCRIPTION; PROSPECTIVE STUDY; QUESTIONNAIRE;

ADULT; ANALGESICS, OPIOID; CHRONIC PAIN; CLINICAL COMPETENCE; COHORT STUDIES; FEASIBILITY STUDIES; FEMALE; HUMANS; INAPPROPRIATE PRESCRIBING; INDIANS, NORTH AMERICAN; MALE; MIDDLE AGED; PHYSICIAN'S PRACTICE PATTERNS; PHYSICIANS, FAMILY; PILOT PROJECTS; PROSPECTIVE STUDIES; QUESTIONNAIRES; RURAL POPULATION; SUBSTANCE-RELATED DISORDERS;

EID: 84860308382     PISSN: 0008350X     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (31)

1. Morley-Forster PK, Clark AJ, Speechley M, Moulin DE. Attitudes toward opioid use for chronic pain: a Canadian physician survey. Pain Res Manag 2003;8(4):189-94. (Pubitemid 43020581)
2. Bendtsen P, Hensing G, Ebeling C, Schedin A. What are the qualities of dilemmas experienced when prescribing opioids in general practice? Pain 1999;82(1):89-96. (Pubitemid 29287090)
3. Dhalla IA, Mamdani MM, Sivilotti ML, Kopp A, Qureshi O, Juurlink DN. Prescribing of opioid analgesics and related mortality before and after the introduction of long-acting oxycodone. CMAJ 2009;181(12):891-6. Epub 2009 Dec 7.
4. Gomes T, Juurlink D, Dhalla I, Mailis-Gagnon A, Paterson J, Mamdani M. Trends in opioid use and dosing among socio-economically disadvantaged patients. Open Med 2011;5(1):13-22.
5. Davidson PJ, Ochoa KC, Hahn JA, Evans JL, Moss AR. Witnessing heroin-related overdoses: the experiences of young injectors in San Francisco. Addiction 2002;97(12):1511-6. (Pubitemid 36009106)
6. Miller NS, Greenfeld A. Patient characteristics and risks factors for development of dependence on hydrocodone and oxycodone. Am J Ther 2004;11(1):26-32.
7. Martyres RF, Clode D, Burns JM. Seeking drugs or seeking help? Escalating "doctor shopping" by young heroin users before fatal overdose. Med J Aust 2004;180(5):211-4. (Pubitemid 38312981)
8. Anderson JF, McEwan KL. Utilization of common analgesic and anxiolytic medications by registered First Nations residents of western Canada. Subst Use Misuse 2000;35(4):601-16. (Pubitemid 30155265)
9. Wardman D, Khan N, el-Guebaly N. Prescription medication use among an aboriginal population accessing addiction treatment. Can J Psychiatry 2002;47(4):355-60. (Pubitemid 34728756)
10. Indian and Northern Affairs Canada. Fall 2003 survey of First Nations people living on-reserve: integrated final report. Ottawa, ON: Ekos Research Associates Inc; 2004.
11. Kahan M, Wilson L, Midmer D, Borsoi D, Martin D. Randomized controlled trial on the effects of a skills-based workshop on medical students' management of problem drinking and alcohol dependence. Subst Abus 2003;24(1):5-16. (Pubitemid 37093038)
12. Ockene JK, Wheeler EV, Adams A, Hurley TG, Hebert J. Provider training for patient-centered alcohol counseling in a primary care setting. Arch Intern Med 1997;157(20):2334-41. (Pubitemid 27479332)
13. Roche AM, Stubbs JM, Sanson-Fisher RW, Saunders JB. A controlled trial of educational strategies to teach medical students brief intervention skills for alcohol problems. Prev Med 1997;26(1):78-85. (Pubitemid 27184628)
14. Bendtsen P, Akerlind I. Changes in attitudes and practices in primary health care with regard to early intervention for problem drinkers. Alcohol Alcohol 1999;34(5):795-800. (Pubitemid 29467072)
15. Drummond DC, Thom B, Brown C, Edwards G, Mullan MJ. Specialist versus general practitioner treatment of problem drinkers. Lancet 1990;336(8720):915-8. (Pubitemid 20351171)
16. Fahey A, Day NA, Gelber H. Tele-education in child mental health for rural allied health workers. J Telemed Telecare 2003;9(2):84-8. (Pubitemid 39655027)
17. Callas PW, Ricci MA, Caputo MP. Improved rural provider access to continuing medical education through interactive videoconferencing. Telemed J E Health 2000;6(4):393-9. (Pubitemid 32506340)
18. Ricci MA, Caputo MP, Callas PW, Gagne M. The use of telemedicine for delivering continuing medical education in rural communities. Telemed J E Health 2005;11(2):124-9. (Pubitemid 40617128)
19. Krupinski EA, Lopez AM, Lyman T, Barker G, Weinstein RS. Continuing education via telemedicine: analysis of reasons for attending or not attending. Telemed J E Health 2004;10(3):403-9. (Pubitemid 39315113)
20. Grimshaw JM, Shirran L, Thomas R, Mowatt G, Fraser C, Bero L, et al. Changing provider behavior: an overview of systematic reviews of interventions. Med Care 2001;39(8 Suppl 2):II2-45.
21. Caplehorn JR, Gibson AE, Doran CM, Bell JR, Ryan A, Lintzeris N. A comparison of buprenorphine treatment in clinic and primary care settings: a randomised trial. Med J Aust 2003;179(10):557-8. (Pubitemid 37461087)
22. Bouchez J, Vignau J. The French experience - the pharmacist, general practitioner and patient perspective. Eur Addict Res 1998;4(Suppl 1):19-23. (Pubitemid 28478990)
23. Vignau J, Brunelle E. Differences between general practitioner- and addiction centre-prescribed buprenorphine substitution therapy in France. Preliminary results. Eur Addict Res 1998;4(Suppl 1):24-8. (Pubitemid 28478991)
24. Bridge TP, Fudala PJ, Herbert S, Leiderman DB. Safety and health policy considerations related to the use of buprenorphine/naloxone as an office-based treatment for opiate dependence. Drug Alcohol Depend 2003;70(2 Suppl):S79-85. (Pubitemid 36556062)
25. Dobscha SK, Corson K, Flores JA, Tansill EC, Gerrity MS. Veterans Affairs primary care clinicians' attitudes toward chronic pain and correlates of opioid prescribing rates. Pain Med 2008;9(5):564-71.
26. Green CR, Wheeler JR, LaPorte F, Marchant B, Guerrero E. How well is chronic pain managed? Who does it well? Pain Med 2002;3(1):56-65. (Pubitemid 34520528)
27. Nwokeji ED, Rascati KL, Brown CM, Eisenberg A. Influences of attitudes on family physicians' willingness to prescribe long-acting opioid analgesics for patients with chronic nonmalignant pain. Clin Ther 2007;29(Suppl):2589-602. (Pubitemid 350299461)
28. Scanlon MN, Chugh U. Exploring physicians' comfort level with opioids for chronic noncancer pain. Pain Res Manag 2004;9(4):195-201. (Pubitemid 40103633)
29. Rohman ME, Cleary PD, Warburg M, Delbanco TL, Aronson MD. The response of primary care physicians to problem drinkers. Am J Drug Alcohol Abuse 1987;13(1-2):199-209. (Pubitemid 17085764)
30. Lefebvre LG, Ordean A, Midmer D, Kahan M, Tolomiczenko G. Physicians' knowledge of alcohol, tobacco and folic acid in pregnancy. Subst Abus 2007;28(1):3-9.
31. Kahan M, Wilson L, Liu E, Borsoi D, Brewster JM, Sobell LC, et al. Family medicine residents' beliefs, attitudes and performance with problem drinkers: a survey and simulated patient study. Subst Abus 2004;25(1):43-51. (Pubitemid 38480258)