Clinical perspectives on hospitals' role in the opioid epidemic

BMC Health Services Research
Olena MazurenkoChristopher A Harle

Abstract

Policymakers, legislators, and clinicians have raised concerns that hospital-based clinicians may be incentivized to inappropriately prescribe and administer opioids when addressing pain care needs of their patients, thus potentially contributing to the ongoing opioid epidemic in the United States. Given the need to involve all healthcare settings, including hospitals, in joint efforts to curb the opioid epidemic, it is essential to understand if clinicians perceive hospitals as contributors to the problem. Therefore, we examined clinical perspectives on the role of hospitals in the opioid epidemic. We conducted individual semi-structured interviews with 23 clinicians from 6 different acute care hospitals that are part of a single healthcare system in the Midwestern United States. Our participants were hospitalists (N = 12), inpatient registered nurses (N = 9), and inpatient adult nurse practitioners (N = 2). In the interviews, we asked clinicians whether hospitals play a role in the opioid epidemic, and if so, how hospitals may contribute to the epidemic. We used a qualitative thematic analysis approach to analyze coded text for patterns and themes and examined potential differences in themes by respondent type using Dedoose s...Continue Reading

References

Feb 12, 2002·Qualitative Health Research·Deirdre Davies, Jenny Dodd
Feb 9, 2007·Health Services Research·Elizabeth H BradleyKelly J Devers
Sep 18, 2007·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Allison TongJonathan Craig
Jan 31, 2009·Health Services Research·Sara SingerLaurence Baker
Mar 16, 2011·Annals of Family Medicine·Ronald M Epstein, Richard L Street
Jul 21, 2011·Journal of General Internal Medicine·Keiki HinamiTosha B Wetterneck
Oct 11, 2011·Lancet·Federico BalaguéChristine Cedraschi
Nov 15, 2013·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Shoshana J HerzigEdward R Marcantonio
Apr 15, 2014·Patient Preference and Adherence·Aleksandra ZgierskaMichael M Miller
Apr 30, 2014·Clinical Orthopaedics and Related Research·Arjan G J BotDavid Ring
Dec 30, 2014·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Dermot P MaherCharles Louy
Jan 28, 2015·Psychosomatics·Sjoerd P F T NotaDavid Ring
Nov 11, 2015·Journal of General Internal Medicine·Susan L CalcaterraIngrid A Binswanger
Jan 15, 2016·MMWR. Morbidity and Mortality Weekly Report·Amy L FreelandShailendra N Banerjee
May 10, 2016·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Susan L CalcaterraIngrid A Binswanger
Sep 21, 2016·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Joseph H DonroeJeanette M Tetrault
Feb 28, 2017·JAMA : the Journal of the American Medical Association·David W Baker
Jul 7, 2017·MMWR. Morbidity and Mortality Weekly Report·Gery P GuyDeborah Dowell
Jul 9, 2017·JAMA : the Journal of the American Medical Association·Anne SchuchatGery P Guy
Jan 20, 2018·BMC Health Services Research·Morhaf Al AchkarSumedha Gupta
Jun 26, 2018·Quality & Quantity·Benjamin SaundersClare Jinks
Jan 1, 2017·MDM Policy & Practice·Lauren E SinnenbergZachary F Meisel
Dec 29, 2018·Joint Commission Journal on Quality and Patient Safety·Olena MazurenkoChristopher A Harle
Jan 23, 2019·BMC Health Services Research·Anke WagnerUNKNOWN WorkSafeMed Consortium
Jul 25, 2019·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Marisha BurdenRichard K Albert

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