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The Opioid Requiring Patient: Systems Level Management

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Evaluation and Management of Chronic Pain for Primary Care

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Abstract

Prescription opioid abuse and overdose is a far reaching epidemic, requiring a systems level approach to tackle this problem on a population level. There are many methods used by various systems to manage compliance to opioid prescribing guidelines. Education of providers and patients, modification of EMRs, and facilitating work flow are examples of interventions used. The underlying principles behind these targets is to change the behavior of providers and patients. Changing behavior is complex, and utilizing behavioral change theories may help make targeted interventions more effective. Behavioral change theories suggest that motivations for change are multifaceted, taking into account benefits and risks of change, social pressure to change, feasibility of change, moral obligations to change, etc. This chapter organizes the myriad of past opioid interventions into a few main categories based on behavioral change theories.

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Authors and Affiliations

  1. UCSF, Department of Family and Community Medicine, Fremont, CA, USA

    Bonnie Huang Hall

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  1. UCSF, Department of Family and Community Medicine, Fremont, CA, USA

    Bonnie Huang Hall

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Hall, B.H. (2020). The Opioid Requiring Patient: Systems Level Management. In: Hall, B.H. (eds) Evaluation and Management of Chronic Pain for Primary Care. Springer, Cham. https://doi.org/10.1007/978-3-030-47117-0_10

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  • DOI: https://doi.org/10.1007/978-3-030-47117-0_10

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-030-47117-0

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