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Emergency medicine providers＇ opioid prescribing practices stratified by gender, age, and years in practice

World Journal of Emergency Medicine 2016年第2期7卷 106-110页

作者： Shawn M. Varney Vikhyat S. Bebarta Lisa M. Mannina Rosemarie G. Ramos Victoria J. Ganem Katherine R. Carey Department of Emergency Medicine University of Texas Health Science Center San Antonio 78229 USA Department of Emergency Medicine University of Colorado School of Medicine Aurora 80045 USA Department of Emergency Medicine Mike O'Callaghan Federal Medical Center Nellis 89191 USA Air Force Enroute Care Research Center Fort Sam Houston 78208 USA The Geneva Foundation Tacoma 98402 USA

BACKGROUND: Emergency medicine providers(EMPs) prescribe about 25% of opioids, but the effect of EMP risk perception on decisions to prescribe opioids is unknown. This study was undertaken to identify factors that infl uence EMP risk and opioid prescribing ***: We distributed an anonymous questionnaire to EMPs at a military trauma and referral center. Response frequencies and distributions were assessed for independence using the Chi-square ***: Eighty-nine EMPs completed the questionnaire(100% response). Respondents were primarily younger male physicians(80%) in practice under fi ve years(55%). Male EMPs were more likely to prescribe more opioid tablets than female ones both when and when not concerned for opioid misuse(Pprescribing decisions. Hydrocodone and oxycodone were the opioids prescribed most frequently. About 60% of the providers reported changing their prescribing behavior would not prevent opioid misuse. Additionally, 40% of the providers believed at least 10% of patients seen at this military ED misused ***: Female EM providers reported prescribing fewer opioid tablets. Patient age infl uenced prescribing behavior, but the effect is unknown. Finally, EM providers reported that altering their prescribing behavior would not prevent prescription opioid misuse.

关键词： Prescription opioid misuse Emergency medicine provider prescribing practices

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