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System-level policies on appropriate opioid use, a multi-stakeholder consensus
Patrice Forget1,2, Champika Patullo3, Duncan Hill4
1Institute of Applied Health Sciences, Epidemiology Group, School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Foresterhill, AB25 2ZD, Aberdeen, UK. forgetpatrice@yahoo.fr.
Consensus on opioid policies for acute pain management was reached by experts. This study prioritized system-level interventions to enhance opioid safety and quality in secondary care settings.
Area of Science:
- Pain Management
- Public Health Policy
- Healthcare Quality Improvement
Background:
- Concerns exist regarding appropriate opioid use for acute pain, with conflicting literature.
- A consensus statement on system-level interventions can guide organizations, government agencies, and funding bodies.
Purpose of the Study:
- To develop consensus statements on policies for system-level interventions in acute pain management.
- To identify current developments and priorities for future policy interventions.
- To address concerns about opioid use in acute pain management.
Main Methods:
- A multi-stakeholder survey using a modified Delphi methodology was employed.
- The focus was on system-level policies, not prescriber or patient-level actions.
- Twenty-three experts from diverse fields participated in the survey.
Main Results:
- Strong agreement (>75%) was achieved on ten policy statements.
- The policies aim to improve the safety and quality of opioid prescribing in secondary care.
- The study involved experts with experience in acute pain management.
Conclusions:
- A multidisciplinary panel, including patient representatives, reached agreement on policy priorities.
- Consensus was found on system-level interventions to improve governance and pain management.
- Prioritized policies aim to enhance patient care, safety, and engagement in opioid management.
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