State medical board members' attitudes about the legality of chronic prescribing to patients with noncancer pain: the influence of knowledge and beliefs about pain management, addiction, and opioid prescribing

Journal of Pain and Symptom Management
Aaron M Gilson

Abstract

In the United States, physicians' practice is regulated at the state level, with medical board members distinguishing legitimate medical practice from unprofessional conduct. For this process to be effective, regulators should have knowledge and beliefs that conform to current standards of practice and medical understanding. Past research has demonstrated that some board members continue to view the prolonged prescribing of opioid analgesics to treat noncancer pain as being unlawful or unacceptable medical practice, especially when the patient with pain has a history of substance abuse. This study was designed to determine whether relevant clinical or policy issues can adequately explain regulators' attitudes about the legality of opioid prescribing for patients with noncancer pain. A total of 277 questionnaires were obtained from a national sample of medical board members. Using binomial logistic regression procedures, the predictive significance of 12 factors related to four variable domains was explored: 1) beliefs about opioid addiction and diversion, 2) beliefs and knowledge about federal and state policy, 3) clinical beliefs about opioid prescribing, and 4) demographic characteristics. Separate logistic regression models ...Continue Reading

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Citations

Nov 25, 2011·The Journal of Pain : Official Journal of the American Pain Society·Aaron M GilsonHassan Baxi
Dec 22, 2011·Journal of Continuing Education in Nursing·Cathy L CampbellVirginia Rovynak
Aug 24, 2016·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Tso-Chou LinShung-Tai Ho
Mar 25, 2011·Current Opinion in Supportive and Palliative Care·Catherine F Stannard
Aug 1, 2012·Journal of Continuing Education in Nursing
Apr 28, 2011·Current Opinion in Supportive and Palliative Care

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