TY - JOUR
KW - Adult
KW - Age Factors
KW - Aged
KW - Analgesics, Opioid/adverse effects/therapeutic use
KW - Attitude of Health Personnel
KW - Boston
KW - Chronic Pain/diagnosis/drug therapy
KW - Clinical Competence
KW - Female
KW - Health Care Surveys
KW - Health Knowledge, Attitudes, Practice
KW - Humans
KW - Male
KW - Middle Aged
KW - Opioid-Related Disorders/etiology/psychology
KW - Perception
KW - Physicians, Primary Care/psychology
KW - Practice Patterns, Physicians'
KW - Prescription Drug Misuse
KW - Primary Health Care
KW - Stress, Psychological/etiology
KW - Surveys and Questionnaires
KW - Workload
AU - R. N. Jamison
AU - K. A. Sheehan
AU - E. Scanlan
AU - M. Matthews
AU - E. L. Ross
A1 - 
AB - OBJECTIVE: There is growing concern of medication misuse and noncompliance among patients with chronic pain prescribed opioids for pain. The aim of this survey was to obtain information from primary care providers (PCPs) about their perception of prescribing opioids for patients with chronic pain. METHODS: PCPs were invited to complete a packet of questionnaires about attitudes and concerns about opioids for chronic pain. These questionnaires included 1) General Health Questionnaire, 2) Test of Opioid Knowledge (TOK), 3) Opioid Therapy Provider Survey, and 4) Concerns About Analgesic Prescription Questionnaire. RESULTS: Fifty-six (N = 56) PCPs from eight centers participated in this study. In general, the PCPs showed adequate opioid knowledge on the KOT and their general health was unrelated to prescription attitudes. Most expressed concern about medication misuse (89 percent) and felt that managing patients with chronic pain was stressful (84 percent). Most were worried about addiction (82 percent) and less than half felt that they were sufficiently trained in prescribing opioids (46 percent). Younger providers felt more reluctant to prescribe opioids, experienced more stress in managing patients with pain, had less overall confidence in managing patients with pain, and worried more about opioid dependence than older providers (p < 0.05). Younger providers were also less knowledgeable about opioids, but opioid knowledge was not found to be related to concerns about analgesic prescriptions. CONCLUSION: This study indicates a general concern and reluctance of primary care physicians to manage the prescribing of opioids among their patients with chronic pain and younger providers expressed more concern about opioids than older providers.
BT - Journal of opioid management
C5 - Opioids & Substance Use; Education & Workforce
CP - 6
CY - United States
DO - 10.5055/jom.2014.0234
IS - 6
JF - Journal of opioid management
N2 - OBJECTIVE: There is growing concern of medication misuse and noncompliance among patients with chronic pain prescribed opioids for pain. The aim of this survey was to obtain information from primary care providers (PCPs) about their perception of prescribing opioids for patients with chronic pain. METHODS: PCPs were invited to complete a packet of questionnaires about attitudes and concerns about opioids for chronic pain. These questionnaires included 1) General Health Questionnaire, 2) Test of Opioid Knowledge (TOK), 3) Opioid Therapy Provider Survey, and 4) Concerns About Analgesic Prescription Questionnaire. RESULTS: Fifty-six (N = 56) PCPs from eight centers participated in this study. In general, the PCPs showed adequate opioid knowledge on the KOT and their general health was unrelated to prescription attitudes. Most expressed concern about medication misuse (89 percent) and felt that managing patients with chronic pain was stressful (84 percent). Most were worried about addiction (82 percent) and less than half felt that they were sufficiently trained in prescribing opioids (46 percent). Younger providers felt more reluctant to prescribe opioids, experienced more stress in managing patients with pain, had less overall confidence in managing patients with pain, and worried more about opioid dependence than older providers (p < 0.05). Younger providers were also less knowledgeable about opioids, but opioid knowledge was not found to be related to concerns about analgesic prescriptions. CONCLUSION: This study indicates a general concern and reluctance of primary care physicians to manage the prescribing of opioids among their patients with chronic pain and younger providers expressed more concern about opioids than older providers.
PP - United States
PY - 2014
SN - 1551-7489; 1551-7489
SP - 375
EP - 382
EP - 
T1 - Beliefs and attitudes about opioid prescribing and chronic pain management: Survey of primary care providers
T2 - Journal of opioid management
TI - Beliefs and attitudes about opioid prescribing and chronic pain management: Survey of primary care providers
U1 - Opioids & Substance Use; Education & Workforce
U2 - 25531955
U3 - 10.5055/jom.2014.0234
VL - 10
VO - 1551-7489; 1551-7489
Y1 - 2014
ER -