TY - JOUR
T1 - System-level policies on appropriate opioid use, a multi-stakeholder consensus
AU - Forget, Patrice
AU - Patullo, Champika
AU - Hill, Duncan
AU - Ambekar, Atul
AU - Baldacchino, Alex
AU - Cata, Juan
AU - Chetty, Sean
AU - Cox, Felicia J.
AU - de Boer, Hans D.
AU - Dinwoodie, Kieran
AU - Dom, Geert
AU - Eccleston, Christopher
AU - Fullen, Brona
AU - Jutila, Liisa
AU - Knaggs, Roger D.
AU - Lavand'homme, Patricia
AU - Levy, Nicholas
AU - Lobo, Dileep N.
AU - Pogatzki-Zahn, Esther
AU - Scherbaum, Norbert
AU - Smith, Blair H.
AU - van Griensven, Joop
AU - Gilbert, Steve
N1 - © 2022. The Author(s).
PY - 2022/3/12
Y1 - 2022/3/12
N2 - Background: This consensus statement was developed because there are concerns about the appropriate use of opioids for acute pain management, with opposing views in the literature. Consensus statement on policies for system-level interventions may help inform organisations such as management structures, government agencies and funding bodies.Methods: We conducted a multi-stakeholder survey using a modified Delphi methodology focusing on policies, at the system level, rather than at the prescriber or patient level. We aimed to provide consensus statements for current developments and priorities for future developments.Results: Twenty-five experts from a variety of fields with experience in acute pain management were invited to join a review panel, of whom 23 completed a modified Delphi survey of policies designed to improve the safety and quality of opioids prescribing for acute pain in the secondary care setting. Strong agreement, defined as consistent among> 75% of panellists, was observed for ten statements.Conclusions: Using a modified Delphi study, we found agreement among a multidisciplinary panel, including patient representation, on prioritisation of policies for system-level interventions, to improve governance, pain management, patient/consumers care, safety and engagement.
AB - Background: This consensus statement was developed because there are concerns about the appropriate use of opioids for acute pain management, with opposing views in the literature. Consensus statement on policies for system-level interventions may help inform organisations such as management structures, government agencies and funding bodies.Methods: We conducted a multi-stakeholder survey using a modified Delphi methodology focusing on policies, at the system level, rather than at the prescriber or patient level. We aimed to provide consensus statements for current developments and priorities for future developments.Results: Twenty-five experts from a variety of fields with experience in acute pain management were invited to join a review panel, of whom 23 completed a modified Delphi survey of policies designed to improve the safety and quality of opioids prescribing for acute pain in the secondary care setting. Strong agreement, defined as consistent among> 75% of panellists, was observed for ten statements.Conclusions: Using a modified Delphi study, we found agreement among a multidisciplinary panel, including patient representation, on prioritisation of policies for system-level interventions, to improve governance, pain management, patient/consumers care, safety and engagement.
UR - http://www.scopus.com/inward/record.url?scp=85126196192&partnerID=8YFLogxK
U2 - 10.1186/s12913-022-07696-x
DO - 10.1186/s12913-022-07696-x
M3 - Article
C2 - 35277160
SN - 1472-6963
VL - 22
JO - BMC Health Services Research
JF - BMC Health Services Research
M1 - 329
ER -