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Lack of Communication about Medical Marijuana Use between Doctors and Their Patients
Elin C Kondrad1, Alex J Reed2, Matthew J Simpson2
1From St. Joseph Family Medicine Residency, Denver, CO (ECK); Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO (AJR, MJS, DEN). elin.kondrad@sclhs.net.
Journal of the American Board of Family Medicine : JABFM
|September 12, 2018
Summary
Primary care physicians (PCPs) have poor awareness and communication regarding patient medical marijuana use. Increased discussion is recommended, especially in states where medical marijuana is legal.
Area of Science:
- Medical Science
- Public Health
Background:
- Medical marijuana is legal in most US states.
- Physician awareness and recommendation patterns for medical marijuana are not well understood.
Purpose of the Study:
- To assess primary care physician (PCP) awareness of patient medical marijuana use.
- To evaluate communication frequency between patients and PCPs regarding marijuana use.
- To determine if PCPs recommend medical marijuana.
Main Methods:
- Paired surveys were distributed to PCPs and their patients.
- Patient marijuana use and PCP communication were assessed.
Main Results:
- 22% of patients reported marijuana use; 61% identified as medical marijuana users.
- PCPs were aware of patient marijuana use in only 53% of cases.
- PCPs did not recommend medical marijuana for any surveyed users and identified potential adverse effects in 31% of users.
Conclusions:
- There is a significant communication gap between patients and PCPs concerning medical marijuana.
- Physicians other than PCPs are sanctioning medical marijuana use.
- More frequent assessment and discussion of marijuana use are needed, particularly in states with legal medical marijuana.
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