Acupuncture's Role in Solving the Opioid Epidemic: Evidence, Cost-Effectiveness, and Care Availability for Acupuncture as a Primary, Non-Pharmacologic Method for Pain Relief and Management-White Paper 2017

作     者：arthur yin fan david w.miller bonnie bolash matthew bauer john mcdonald sarah faggert hongjian he yong ming li amy matecki lindy camardella mel hopper koppelman jennifer a.m.stone lindsay meade john pang Arthur Yin Fan;David W. Miller;Bonnie Bolash;Matthew Bauer;John McDonald;Sarah Fagge;Hongjian He;Yong Ming LiTM;Amy Mateckie＇;Lindy Camardella;Mel Hopper Koppelman;Jennifer A.M. Stone;Lindsay Meade;John Pang

作者机构：the american tcm associationViennaVA 22182USA the american society of acupuncturistsChicagoIL 60618USA the joint acupuncture opioid task forceLa VerneCA 91750USA pacific college of oriental medicineChicagoIL 60601USA the acupuncture now foundationCA 91750USA the acupuncture evidence projectProvidenceRI 02860USA the acupuncture society of virginiaViennaVA 22182USA the national federation of chinese tcm organizationsNew YorkNY 11501USA the american alliance for professional acupuncture safetyGreenwichCT 06878USA the american traditional chinese medicine societyNew YorkNY 11501USA highland hospitalalameda health systemOaklandCA 94602USA indiana university school of medicineIndianapolisIN 46202USA university of californiasan diego school of medicineSan DiegoCA 92093USA 

出 版 物：《Journal of Integrative Medicine》 (结合医学学报（英文版）)

年 卷 期：2017年第15卷第6期

页      面：411-425页

核心收录：

学科分类：1005[医学-中医学] 100512[医学-针灸推拿学] 10[医学] 

基　　金：sponsored by the American Society of Acupuncturists (ASA) the American Alliance for Professional Acupuncture Safety (AAPAS) the Acupuncture Now Foundation (ANF) the American TCM Association (ATCMA) the American Traditional Chinese Medicine Society (ATCMS) the National Federation of Chinese TCM Organizations (NFCTCMO) 

主　　题：acupuncture opioid epidemic pain opiate dependency effectiveness safety cost-effectiveness mechanism United States 

摘      要：The United States （U.S.） is facing a national opioid epidemic, and medical systems are in need of non- pharmacologic strategies that can be employed to decrease the public＇s opioid dependence. Acupuncture has emerged as a powerful, evidence-based, safe, cost-effective, and available treatment modality suitable to meeting this need. Acupuncture has been shown to be effective for the management of numerous types of pain conditions, and mechanisms of action for acupuncture have been described and are understandable from biomedical, physiologic perspectives. Further, acupuncture＇s cost-effectiveness can dramatically decrease health care expenditures, both from the standpoint of treating acute pain and through avoiding addiction to opioids that requires costly care, destroys quality of life, and can lead to fatal overdose. Numerous federal regulatory agencies have advised or mandated that healthcare systems and providers offer non-pharmacologic treatment options for pain. Acupuncture stands out as the most evidence-based, immediately available choice to fulfil these calls. Acupuncture can safely, easily, and cost-effectively be incorporated into hospital settings as diverse as the emergency department, labor and delivery suites, andneonatal intensive care units to treat a variety of commonly seen pain conditions. Acupuncture is already being successfully and meaningfully utilized by the Veterans Administration and various branches of the U.S. Military, in some studies demonstrably decreasing the volume of opioids prescribed when included in care.