Open Access References: Spring 2018

This report a summary of barriers and strategies to the uptake of CER/PCOR and future perspectives on the field. Carer experience of end-of-life service provision: a social network analysis Rosemary Leonard, et. al. in BMJ Supportive and Palliative Care. To identify the position of formal service providers in the networks of those providing end-of-life care in the home from the perspective of the informal network.
Source: Society for Participatory Medicine - Category: General Medicine Authors: Tags: General Newsletter Source Type: news

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The United States continues to face a public heatlh crisis of epic proportion, with over 500,000 deaths from opioid overdoses since 2000. Medications for opioid use disorder, like buprenorphine, offer patients an effective approach to cessation. Unfortunately many barriers to use of medications for opioid use disorder exist, including insufficient number of programs offering medications for opioid use disorder, inadequate number of addiction specialists to provide these medications, and stigma surrouding patients with opioid use disorders and the medications used to treat them.
Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Source Type: research
By COLIN KONSCHAK, FACHE and DAVE LEVIN, MD  Dave Levin Colin Konschak The opioid crisis in the United States is having a devastating impact on individuals, their families, and the health care industry. This multi-part series will focus on the role technology can play in addressing this crisis. Part one of the series proposed a strategic framework for evaluating and pursuing technical solutions. A Framework for Innovation In part one of our series, we declared the opioid crisis an “All Hands-On Deck” moment and made the case that health IT (HIT) has a lot to offer. Given the many different possibilities, h...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: Tech Access to care Colin Konschak Dave Levin Divurgent Health IT Sansoro Health Source Type: blogs
The crushing toll of the opioid crisis is daily news, including stories about ways to “fix” it. A wide array of initiatives has been brought forward in an attempt to curb this epidemic and the damage it causes. Prescription monitoring programs (PMPs) are one of them. The goal of PMPs is a good one — to identify patients who are being prescribed multiple medications by multiple clinicians. It is a means to introduce some stewardship for preventing overuse and misuse of prescription drugs. How prescription monitoring programs work Prescription monitoring programs are state-based electronic databases that pr...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Addiction Drugs and Supplements Health Source Type: blogs
On December 11, 2017, the Pharmaceutical Research and Manufacturers of America (PhRMA) issued statements of support for several policy proposals focused on resolving the opioid crisis. The proposals included: limits on prescribing, a ban on prescribing of Schedule II opioids in an office setting, ongoing prescriber training, and expanded access to addiction treatment options. Along with the policy proposals came an announcement that PhRMA and the Addiction Policy Forum have entered into a multi-year, multi-million dollar initiative to combat the opioid crisis and implement the Forum's plan to help solve the opioid crisis....
Source: Policy and Medicine - Category: American Health Authors: Source Type: blogs
The widespread U.S. opioid &overdose crisis is an ever-increasing tragic concern for everyone: writhing victims, family members being fain to see their relatives suffer or die, doctors prescribing opioid pain-killers what they thought before as safe, and regulators imposed to handle a tough situation. Addiction. It’s painful to even read about the skyrocketing numbers of people suffering, thus we decided to map how digital health could help tackle the opioid crisis. Why is it so difficult to deal with the opioid crisis? Once you become addicted, it sticks with you for a long time, if not for life, just as a ...
Source: The Medical Futurist - Category: Information Technology Authors: Tags: Bioethics Mobile Health Virtual Reality in Medicine AI artificial intelligence data data analytics drugs future gc3 Innovation opioid opioid crisis pharma technology wearables Source Type: blogs
By DAVID HARLOW, MD The opioid crisis has been upon us for years now, and we are now seeing the problem become more pervasive, with more than 90 deaths per day in the U.S. due to this scourge. The president recently said he would be declaring a public health emergency (which would free up some funds) but has not done so as of this writing. The public health threat is so persistent that it calls for responses on many levels, and those responses are coming. Some have been in place for a while, some are more recent. These responses may be broken down into a number of different categories: Broader availability of naloxone (an...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: Uncategorized Charlie Baker Harlow Internet Massachussetts Opioid Opioid crisis Source Type: blogs
Recently I was speaking with a couple whose adult son died two months ago of a drug overdose. These parents adored him and knew he was dealing with emotional challenges. They did what they could to let him know he was loved and they were with him come what may. They attempted to get him help. He was surrounded by a multi-generational family who thought the world of him. As we processed their experience and they openly shared their grief, they said something that in all my years as a therapist, I had not considered. They both acknowledged that as we approached the threshold between summer and autumn, they were experiencing ...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Addiction Family Grief and Loss Parenting Psychology Psychotherapy Stories Bereavement grieving Heroin Addiction opioid crisis Opioid Epidemic Prescription Drug Addiction Seasonal Affective Source Type: blogs
The opioid epidemic knows no boundaries. The epidemic is not limited to race, profession or socioeconomic status. Since 1999, the number of overdose deaths involving opioids (heroin and prescribed opioids) nearly quadrupled with more people dying from drug overdoses in 2014 than recorded in any prior year. The Centers for Disease Control and Prevention (CDC) reports that 78 Americans die every day from an opioid overdose. At least half of all opioid overdose deaths involve a prescription opioid. Despite recent initiatives that have been put into place to curb the number of opioid related deaths, such as public availabilit...
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news
Commentary on: Smith RJ, Rhodes K, Paciotti B, et al.. Patient perspectives of acute pain management in the era of the opioid epidemic. Ann Emerg Med 2015;66:246–52.e1. Implications for practice and research Nurses are in a position to educate patients about the safe use of opioids as well as improve coordination and communication among the healthcare team regarding pain management strategies. Future research should focus on the role of nurses in delivering patient-centered interventions to improve communication about pain in acute care settings. Context Emergency department (ED) providers are frequently faced with t...
Source: Evidence-Based Nursing - Category: Nursing Authors: Tags: Pain management, Pain (neurology), Hospice, Pain (palliative care), Drugs misuse (including addiction), Adult intensive care, Drugs: musculoskeletal and joint diseases, Poisoning, Trauma, Occupational and environmental medicine, Health education, Injury Source Type: research
The physician role in reducing opioid medication misuse, overdose and death is an important one. Several new policies were put into place by physician delegates at the 2016 AMA Annual Meeting addressing factors that are critical  to reversing the epidemic, including prescription drug monitoring programs (PDMP), access to naloxone and addiction medicine as a sub-specialty. The importance and effectiveness of PDMPs The prevention and treatment of opioid use disorder has been a focus of the AMA’s Task Force to Reduce Prescription Opioid Abuse since its inception. PDMPs are important tools that physicians have t...
Source: AMA Wire - Category: Journals (General) Authors: Source Type: news
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