Oncologists and primary care physicians'attitudes toward pain control and morphine prescribing in France.
Two representative samples of primary care physicians (N=600) and medical oncologists (N=300) in France were surveyed about their attitudes toward and knowledge about cancer pain management.
The survey was conducted by telephone with a questionnaire based on a model developed by the University of Wisconsin-Madison Pain Research Group.
It was designed to assess physicians'estimates of the prevalence of pain among patients with cancer, their practice in prescribing analgesics, their training in cancer pain management, and the quality of care received by cancer patients in their own practice and in France.
Barriers to adequate cancer pain management are prevalent and consistently more common among primary care physicians than among medical oncologists.
Although 85% of primary care physicians and 93% of medical oncologists express satisfaction with their own ability to manage cancer pain, 76% of primary care physicians and 50% of medical oncologists report being reluctant to prescribe morphine for cancer pain.
Both groups cite fear of side effects as their main reason to hesitate to prescribe morphine.
Concerns about the risk of tolerance (odds ratio [OR], 1.15-2.52), perceptions that other effective drugs are available (OR, 1.11-2.41), perceptions that morphine has a poor image in public opinion (OR, 0.96-2.07), and the constraints of prescription forms (OR, 1.12-2.26) contribute significantly to physicians'infrequent prescriptio...
Mots-clés Pascal : Tumeur maligne, Homme, Douleur, Morphine, Chimiothérapie, Traitement, Médecin, Pratique professionnelle, Prescription médicale, France, Analgésique narcotique, Europe, Opiacés, Personnel sanitaire
Mots-clés Pascal anglais : Malignant tumor, Human, Pain, Morphine, Chemotherapy, Treatment, Physician, Professional practice, Medical prescription, France, Narcotic analgesic, Europe, Opiates, Health staff
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0236813
Code Inist : 002B30A05. Création : 199608.