Trust and Distrust in Opioid Decision-Making: A Qualitative Assessment of Patient-Doctor Relationship
The Journal of Hand Surgery, ISSN: 0363-5023, Vol: 47, Issue: 2, Page: 151-159.e1
2022
- 6Citations
- 25Captures
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
Citation Benchmarking is provided by Scopus and SciVal and is different from the metrics context provided by PlumX Metrics.
Metrics Details
- Citations6
- Citation Indexes6
- Captures25
- Readers25
- 25
Article Description
Surgeons often prescribe opioid analgesics for pain management after surgery. However, we understand little about how patients perceive opioid prescribing and make decisions to use opioids for postoperative pain management. In this study, we aimed to gain an understanding of patients’ decision-making process on postoperative opioid use. We conducted semi-structured interviews with 30 adult patients undergoing elective surgery at our institution. The interviews were content-coded for thematic analysis. We used trust in the medical setting as a conceptual framework to interpret and find the inherent theory in the data. We found that participants based their opioid decisions on their trust or distrust toward various elements of their postoperative pain management. Participants believed that the surgeons “know,” thereby, reinforcing their trust in surgeons’ postoperative opioid prescribing to be in the participants’ best interest. Moreover, the positive reputation of the institution strengthened the participants’ trust. However, participants conveyed nuanced trust because of their distrust toward the opioid medications themselves, which were viewed as “suspicious,” and the pharmaceutical companies, that were “despised.” Despite this distrust, participants had confidence in their inherent ability to protect themselves from opioid use disorders. Understanding how patients perceive and form decisions on postoperative opioid use based on their trust and distrust toward various factors involved in their care highlights the importance of the patient-doctor relationship and building trust to effectively address postoperative pain and reduce opioid-related harms. Through a strengthened therapeutic alliance between patients and surgeons, we can improve our strategies to overcome the ongoing opioid epidemic through patient-centered approaches.
Bibliographic Details
http://www.sciencedirect.com/science/article/pii/S0363502321006857; http://dx.doi.org/10.1016/j.jhsa.2021.10.013; http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85121262673&origin=inward; http://www.ncbi.nlm.nih.gov/pubmed/34916114; https://linkinghub.elsevier.com/retrieve/pii/S0363502321006857; https://dx.doi.org/10.1016/j.jhsa.2021.10.013
Elsevier BV
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