2025-04-21 マウントサイナイ医療システム (MSHS)
<関連情報>
- https://www.mountsinai.org/about/newsroom/2025/mount-sinai-researchers-uncover-barriers-to-opioid-accessibility-for-seriously-ill-patients
- https://catalyst.nejm.org/doi/full/10.1056/CAT.24.0380
静かなるオピオイド危機: 乱用防止と重症患者へのアクセス向上のバランスを探る The Silent Opioid Crisis: Finding a Balance Between Combating Abuse and Increasing Access for Seriously Ill Patients
Rebecca Rodin, MD, MSc, Debora Afezolli, MD, Ayla Pelleg, MD, Ebtesam Ahmed, PharmD, Eve Easton, RN, MSc, OCN, CHPN, and Joanna Chen, MD, MPH
NEJM Catalyst Innovations in Care Delivery Published: April 16, 2025
Abstract
In this article, the authors discuss the growing crisis of opioid access barriers for people with serious illness, who commonly require these medications as a first-line pain treatment. The authors report the results of a needs assessment survey they conducted among clinicians in the Department of Geriatrics and Palliative Medicine at Mount Sinai Health System in New York City regarding perceived challenges to opioid access for patients with serious illness. The survey, corroborated by incident reports, identified multiple barriers related to providers, pharmacies, and insurers. The surveyed clinicians reported that barriers to opioid access resulted in patients not receiving optimal pain relief, higher rates of hospital readmission, poorer quality of life, and reduced job satisfaction for clinicians. The article outlines a broader framework for local and national action to address this pressing problem.
