解决医用大麻计划中提供者角色的混乱和不一致问题
Yi-Lang Tang1, Elizabeth McCord, Paul H Earley
1From the Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta, GA (Y-LT, EMC, KD); Maxwell Cleland Atlanta VA Medical Center, Decatur, GA (Y-LT); and Georgia Professional Health Program, Inc., Atlanta, GA (PHE).
Journal of addiction medicine
|July 1, 2024
概括
医用大麻计划正在扩展到常见疾病,但缺乏研究和提供者准备性会带来挑战. 基于证据的患者护理和监测需要指导方针和教育.
科学领域:
- 医学科学 医学科学 医学科学
- 公共卫生 公共卫生
- 药理学 药理学是指药理学的学科.
背景情况:
- 美国有40多个州有医用大麻计划.
- 计划最初专注于罕见/终极疾病,但扩展到常见的医疗和精神疾病.
- 这种扩张带来了挑战,包括有限的研究证据和提供者的不准备.
研究的目的:
- 突出与医用大麻计划扩展范围相关的挑战.
- 强调需要基于证据的指导方针和改进的医学教育.
- 为了强调医疗大麻建议中提供者临床判断的重要性.
主要方法:
- 审查美国医用大麻计划的现状.
- 分析项目扩展所带来的挑战.
- 讨论医疗组织和提供者的必要步骤.
主要成果:
- 缺乏对许多已批准使用医用大麻的疾病的强有力的研究证据.
- 在各州提供者角色,期望和责任方面的差异.
- 医疗保健提供者报告说,在管理医用大麻使用方面,他们缺乏准备.
结论:
- 医疗组织必须制定专家共识和指导方针,以基于证据的共享决策和患者监测.
- 医疗教育需要纳入关于医用大麻的培训.
- 提供者应优先考虑基于证据的治疗,运用临床判断,并对建议负责.
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