Promoting Patient-Centeredness in Opioid Deprescribing: a Blueprint for De-implementation Science.
A downward trend in opioid prescribing between 2011 and 2018 has brought per-capita opioid prescriptions below the levels of 2006, the earliest year for which the Centers for Disease Control and Prevention has published data. That trend has affected roughly ten million patients who previously receiv...
| Publicado en: | JGIM: Journal of General Internal Medicine Vol. 35; pp. 972 - 978 |
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| Autores principales: | , , , |
| Formato: | tables/charts Journal Article |
| Publicado: |
Springer Nature
Nov2020 Supplement 3
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=147528767&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 147528767 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08848734 4BF jtl: JGIM: Journal of General Internal Medicine issn: 08848734 maglogo: N pubinfo: dt: Nov2020 Supplement 3 vid: 35 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 147528767 146880201 147528767 NLM33145692 147528767 10.1007/s11606-020-06254-7 NLM33145692 147528767 ppf: 972 ppct: 6 formats: tig: atl: Promoting Patient-Centeredness in Opioid Deprescribing: a Blueprint for De-implementation Science. aug: au: Kertesz, Stefan G. McCullough, Megan B. Darnall, Beth D. Varley, Allyson L. affil: Birmingham VA Medical Center, Birmingham, AL, USA sug: subj: Analgesics, Opioid Therapeutic Use United States Pain Drug Therapy ab: A downward trend in opioid prescribing between 2011 and 2018 has brought per-capita opioid prescriptions below the levels of 2006, the earliest year for which the Centers for Disease Control and Prevention has published data. That trend has affected roughly ten million patients who previously received long-term opioid therapy. Any effort to reduce or replace a prior health practice is termed de-implementation. We suggest that the evaluation of opioid prescribing de-implementation has been misdirected, within US policy and health research, resulting in detrimental impacts on patients, their families and clinicians. Policymakers and implementation scientists can address these deficiencies in how we study and how we perform opioid de-implementation by applying an implementation science framework: the Consolidated Framework for Implementation Research. The Consolidated Framework lays out relevant domains of activity (internal, external, etc.) that influence implementation processes and outcomes. It can deepen our understanding of how policies are chosen, communicated, and carried out. Policymakers and researchers who embrace this framework will need a better approach to measuring success and failure in health care where both pain and opioids are concerned. This would involve shifting from a reductive focus on opioid prescription counts toward measures that are more effective, holistic, and patient-centered. pubtype: Academic Journal doctype: tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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