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      Women’s Perspectives On Provider Education Regarding Opioid Use

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          Abstract

          Objective

          To elucidate women’s experiences with opioid medications and their perspectives on provider education regarding opioid use, risks and safety.

          Methods

          Women with a self-reported history of pain who had been prescribed opioids were recruited in 2016 using a convenience sampling approach that included an online social media campaign. Participants (N=154) completed online surveys and open-ended questions regarding their experiences with pain and opioids, and their perspectives on the quality of education they received from their providers.

          Results

          Participants reported receiving insufficient education about opioid-related side effects, as reflected in both ratings for the quantity and quality of education they received from their providers. Non-white participants reported lower quantity and poorer quality of provider education (p<0.05). Themes identified from the qualitative data included frustrations with pain management options, fear of opioids, stigma associated with opioid use, and the need for improved provider education and patient-provider communication.

          Conclusion

          Findings suggest that from a patient’s perspective, there is a need for enhanced patient-provider communication and education regarding pain management and potential opioid-related side effects. Improved physician communication and education could promote shared decision-making and result in enhanced satisfaction with care and health outcomes.

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          Most cited references 41

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          Trends in Opioid Analgesic-Prescribing Rates by Specialty, U.S., 2007-2012.

          Opioid analgesic prescriptions are driving trends in drug overdoses, but little is known about prescribing patterns among medical specialties. We conducted this study to examine the opioid-prescribing patterns of the medical specialties over time.
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            Inequality in Quality

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              Primary care provider concerns about management of chronic pain in community clinic populations.

              Chronic pain is a common patient complaint in primary care, yet providers and patients are often dissatisfied with treatment processes and outcomes. To assess provider satisfaction with their training for and current management of chronic pain in community clinic settings. To identify perceived problems with delivering chronic pain treatment and issues with opioid prescribing for chronic pain. Mailed survey to primary care providers (PCPs) at 8 community clinics. Respondents (N=111) included attendings, residents, and nurse practioners (NPs)/physician assistants (PAs). They reported 37.5% of adult appointments in a typical week involved patients with chronic pain complaints. They attributed problems with pain care and opioid prescribing more often to patient-related factors such as lack of self-management, and potential for abuse of medication than to provider or practice system factors. Nevertheless, respondents reported inadequate training for, and low satisfaction with, delivering chronic pain treatment. A substantial proportion of adult primary care appointments involve patients with chronic pain complains. Dissatisfaction with training and substantial concerns about patient self-management and about opioid prescribing suggest areas for improving medical education and postgraduate training. Emphasis on patient-centered approaches to chronic pain management, including skills for assessing risk of opioid abuse and addiction, is required.
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                Author and article information

                Journal
                J Pain Res
                J Pain Res
                JPR
                jpainres
                Journal of Pain Research
                Dove
                1178-7090
                09 January 2020
                2020
                : 13
                : 39-47
                Affiliations
                [1 ]Department of Population Health, NYU School of Medicine , New York, NY, USA
                [2 ]Department of Health Education, Teachers College, Columbia University , New York, NY, USA
                Author notes
                Correspondence: Jolaade Kalinowski NYU School of Medicine , 180 Madison Avenue, 7-21A, New York, NY10016, USATel +1 646 501-3437 Email Jolaade.Kalinowski@nyumc.org
                Article
                215943
                10.2147/JPR.S215943
                6957101
                © 2020 Kalinowski et al.

                This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

                Page count
                Tables: 2, References: 56, Pages: 9
                Categories
                Original Research

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