Mutual mistrust in the medical care of drug usersThe keys to the “narc” cabinet

被引：108
作者：
Joseph O. Merrill
Lorna A. Rhodes
Richard A. Deyo
G. Alan Marlatt
Katharine A. Bradley
机构：
[1] University of Washington,Received from the Division of General Internal Medicine, Harborview Medical Center, Department of Medicine
[2] University of Washington,Department of Health Services
[3] University of Washington,Department of Anthropology
[4] University of Washington,Department of Psychology
[5] VA Puget Sound Health Care System,Northwest Health Services Research and Development Center of Excellence
[6] VA Puget Sound Health Care System,Primary and Specialty Medical Care Service
来源：
Journal of General Internal Medicine | 2002年 / 17卷 / 5期
关键词：
injection drug use; physician-patient relations; attitude of health personnel; trust; pain treatment; ethnography;
D O I：
10.1007/s11606-002-0034-5
中图分类号：
学科分类号：
摘要：
OBJECTIVE: Caring for patients who are active drug users is challenging. To better understand the often difficult relationships between illicit drug-using patients and their physicians, we sought to identify major issues that emerge during their interactions in a teaching hospital.
引用
收藏
页码：327 / 333
页数：6
相关论文
共 79 条
[1]  
Dans PE(1990)Intravenous drug abuse and one academic health center JAMA 263 3173-6
[2]  
Matricciani RM(2000)Treatment for opioid dependence: quality and access JAMA 283 1337-9
[3]  
Otter SE(1990)Expanding the role of physicians in drug abuse treatment: problems, perspectives J Clin Ethics 1 152-6
[4]  
Reuland DS(1996)Long-term opioid therapy: assessment of consequences and risks J Pain Symptom Manage 11 274-86
[5]  
Rounsaville BJ(1993)Opioids, chronic pain, and the law J Pain Symptom Manage 8 297-305
[6]  
Kosten TR(1990)Alcohol problems increase while physician attention declines. 1967 to 1984 Arch Intern Med 150 397-400
[7]  
Levine C(1997)Physician unawareness of serious substance abuse Am J Drug Alcohol Abuse 23 343-54
[8]  
Novick DM(1993)Actual causes of death in the United States JAMA 270 2207-12
[9]  
Savage SR(1988)Randomised controlled trial of general practitioner intervention in patients with excessive alcohol consumption BMJ 297 663-8
[10]  
Clark HW(1997)Brief physician advice for problem alcohol drinkers. A randomized controlled trial in community-based primary care practices JAMA 277 1039-45
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