RESUMO
Members of the AMA Opioid Task Force include the American Medical Association, the American Osteopathic Association, 25 specialty and state medical societies, and the American Dental Association. In 2015, the task force issued 6 recommendations focused on specific actions to help reverse the nation's opioid epidemic. Clinicians have demonstrated progress in each of these areas, and, while much work remains, making good policy will be key to motivating continued progress. Recommendations adopted in 2019 focus on tangible actions policymakers can take to help end the epidemic. This article offers an overview of task force recommendations.
Assuntos
Analgésicos Opioides , Epidemias , Comitês Consultivos , American Medical Association , Analgésicos Opioides/efeitos adversos , Humanos , Epidemia de Opioides , Estados Unidos/epidemiologiaAssuntos
Saúde Pública , Sociedades Médicas , Ferimentos por Arma de Fogo/prevenção & controle , Armas de Fogo/legislação & jurisprudência , Humanos , Violência por Parceiro Íntimo/legislação & jurisprudência , Médicos , Estados Unidos/epidemiologia , Ferimentos por Arma de Fogo/epidemiologia , Ferimentos por Arma de Fogo/mortalidadeRESUMO
With Lembke article and opioid PG.
Assuntos
American Medical Association , Analgésicos Opioides/uso terapêutico , Dor/tratamento farmacológico , Padrões de Prática Médica/normas , Uso Indevido de Medicamentos sob Prescrição/prevenção & controle , Educação Médica Continuada , Humanos , Estados Unidos/epidemiologiaRESUMO
OBJECTIVE: To review issues related to culture and ethnicity that influence diagnosis, treatment, and response for patients who have major depressive disorder (MDD). SUMMARY: People from different ethnic and cultural groups may present with MDD differently. Communication, clarity, and collaboration are key to successful patient-provider relationships. Often, patients. presentation involves somatic complaints, or symptoms that have not traditionally been associated with a diagnosis of depression. People from minority groups may be less trusting, less adherent, and more skeptical than others. Further, chronic medical illnesses may result in MDD, and patients from ethnic minorities often respond to medications differently from whites. Each patient.s culture and ethnicity must be addressed when they present. Clinicians should always ask,.Are there any cultural issues at work here?. CONCLUSION: Cultural competence is a journey, not a destination, and every provider must learn to question carefully, appreciate culture.s role, and help patients work with them to achieve a better mental and physical health status.