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KNOWLEDGE, ATTITUDES AND BARRIERS OF PHYSICIANS, POLICY MAKERS/REGULATORS REGARDING USE OF OPIOIDS FOR CANCER PAIN MANAGEMENT IN THAILAND
https://doi.org/10.18999/nagjms.75.3-4.201
https://doi.org/10.18999/nagjms.75.3-4.201577d0476-e07e-4d6e-9987-7d8ffce20c97
名前 / ファイル | ライセンス | アクション |
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2013-09-12 | |||||
タイトル | ||||||
タイトル | KNOWLEDGE, ATTITUDES AND BARRIERS OF PHYSICIANS, POLICY MAKERS/REGULATORS REGARDING USE OF OPIOIDS FOR CANCER PAIN MANAGEMENT IN THAILAND | |||||
著者 |
Srisawang, Pornsuree
× Srisawang, Pornsuree× Harun-Or-Rashid× Hirosawa, Tomoya× Sakamoto, Junichi |
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キーワード | ||||||
主題Scheme | Other | |||||
主題 | Policy makers | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Regulators | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Opioids | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Cancer pain management | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Thailand | |||||
抄録 | ||||||
内容記述 | The efficacy of opioids for cancer pain has been proven and the World Health Organization (WHO) three-step ladder has been recommended for cancer pain relief. However, undertreatment of cancer pain has still been reported in Thailand. Identification of barriers to opioid use by the physicians and policy makers/regulators, and their level of knowledge and attitudes concerning its use are influential factors for cancer pain management (CPM). This study was performed to assess the knowledge and attitudes physicians and policy makers/regulators have regarding use of opioids for CPM. Barriers to opioid availability were also studied. A self-administered questionnaire was mailed to 300 physicians and distributed to 58 policy makers/regulators from September to October 2011. A total of 219 physicians and 47 policy makers/ regulators completed the questionnaire. Of the physicians 62.1% had inadequate knowledge and 33.8% had negative attitudes. Physicians who did not know the WHO three-step ladder were more likely to have less knowledge than those having used the WHO three-step ladder (OR = 13.0, p < 0.001). Policy makers/regulators also had inadequate knowledge (74.5%) and negative attitudes (66.0%). Policy makers/ regulators who never had CPM training were likely to have more negative attitudes than those having had training within less than one year (OR = 35.0, p = 0.005). Lack of training opportunities and periodic shortages of opioids were the greatest barriers to opioid availability for physicians and policy makers/ regulators, respectively. The strengthening of ongoing educational programs regarding opioid use for CPM, and cooperation among key groups are needed. | |||||
内容記述タイプ | Abstract | |||||
出版者 | ||||||
出版者 | Nagoya University School of Medicine | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | departmental bulletin paper | |||||
ID登録 | ||||||
ID登録 | 10.18999/nagjms.75.3-4.201 | |||||
ID登録タイプ | JaLC | |||||
ISSN(print) | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0027-7622 | |||||
書誌情報 |
Nagoya Journal of Medical Science 巻 75, 号 3-4, p. 201-212, 発行日 2013-08 |
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著者版フラグ | ||||||
値 | publisher | |||||
URI | ||||||
識別子 | http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/7534/7534.html | |||||
識別子タイプ | URI | |||||
URI | ||||||
識別子 | http://hdl.handle.net/2237/18469 | |||||
識別子タイプ | HDL |