オピオイド管理のeコンサルティングに関する臨床医の要請の質的分析

Laila Khalid^1,2, Sharon Rikin^3,4, Dana Watnick^3,4

¹Montefiore Medical Center, Bronx, NY, USA. lkhalid@montefiore.org.

Journal of general internal medicine

|September 2, 2025

まとめ

eConsultsは,医療従事者が害の軽減と知識の不足に対処することで,オピオイド使用の管理を支援しています. オピオイドの乱用の評価に役立ちます.

科学分野:

医療情報学
痛みの管理
依存症医学

背景:

電子相談 (eConsults) は,患者のケアのために電子医療記録 (EHR) を通じて専門家の意見を容易にします.
オピオイド管理に関するeConsultプログラムに関する文献は限られている.

研究の目的:

オピオイド管理におけるeConsultsの使用に対する臨床医の動機を理解する.
電子相談に適したオピオイド管理の問題の特徴を特定する.

主な方法:

野外でのオピオイド管理のための40のeConsultの遡及的質的内容分析
主に内科と家庭医学の30人の臨床医からのeConsultのリクエストと回答の分析
臨床医の質問のパターンを特定し,分析のためのコードを開発する.

主要な成果:

オピオイド乱用とオピオイド乱用 (OUD) のラベル付けの難しさ,特定の質問の明確化における課題,オピオイド管理における知識のギャップを特定した.
医療従事者や家庭内科医が頻繁にeコンサルティングを依頼しました.
オピオイドの乱用やOUDのラベリングに関する複雑で曖昧な質問については,個人による専門家の訪問が推奨されました.

結論:

臨床医は慢性的な痛みとオピオイド治療の管理に不快感を感じます
オピオイド管理における害の軽減に焦点を当てた,単一で複雑な問題に対処するために,eコンサルットは価値があります.
将来のeConsultの実施には,オピオイド乱用とOUDの評価のためのEHRの改善と臨床医の訓練が含まれます.

キーワード:

eConsults についてオピオイド管理外科医定性的な分析

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