Pharmaceuticalization to Opioid Pharmacovigilance
A Qualitative Investigation of the Impact of Opioid-related Policy Changes and the Perspectives of Residents and Chronic Non-cancer Pain Patients
Bibliographic Data
| ID | 2363721 |
|---|---|
| Authors | Zachary Simoni (0000-0002-1094-385X, The University of Tennessee at Chattanooga, Chattanooga, TN, USA, corresponding author), Philip Day (0000-0003-2713-0529, University of Massachusetts Medical School, Worcester, MA, USA), David Schneider (0000-0002-9665-4927, The University of Texas Southwestern Medical Center, Dallas, TX, USA), Chance Strenth (0000-0002-8921-3525, The University of Texas Southwestern Medical Center, Dallas, TX, USA), Neelima Kale (University of Kentucky) |
| Year | 2022 |
| Volume | 65 |
| Issue | 6 |
| Pages | 1099-1116 |
| Publication date | 2022-12-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Sociological Perspectives (JOURNAL) |
| Journal identifiers | ISSN: 0731-1214 • E-ISSN: 1533-8673 |
| Publisher | SAGE Publications Inc (PUBLISHER) |
| DOI | 10.1177/07311214221097086 |
| OpenAlex | W4282026123 |
| Language | EN |
| Citations received | 4 |
| References cited | 59 |
As a result of the pharmaceuticalization of chronic pain over the past three decades, opioid therapy became a common form of treatment for chronic pain patients. However, the overprescribing of opioids led to the opioid overdose epidemic in the United States. In response, the Centers for Disease Control and Prevention implemented guidelines reducing the number of opioid prescriptions-better known as opioid pharmacovigilance. Little is known about the sociocultural challenges during the transition to opioid pharmacovigilance for the resident/patient relationship. Using a thematic analysis, we analyzed 20 semi-structured interviews of residents and chronic non-cancer pain (CNCP) patients in a family medicine residency practice. Findings suggest that due to the pharmaceuticalization of CNCP and the transition to opioid pharmacovigilance, residents develop a wariness to prescribe opioids, which leads to prejudice against patients. Patients report constrained care and a lack of alternative treatments for chronic pain, which inevitably leads to duplicitous behavior
Cancer · Cancer pain · Chronic pain · Drug · Family medicine · Intensive care medicine · Medical prescription · Opioid · Pharmacovigilance · Psychiatry · Qualitative research · Thematic analysis · Medicine · Musculoskeletal pain and rehabilitation · Nursing · Opioid Use Disorder Treatment · Pain Management and Opioid Use · Internal Medicine
Constructions of deviance
Grounded theory in practice
The Medicalization of Society
Experiencing Chronic Illness
The Prescription Opioid and Heroin Crisis
Pain Mechanisms: A New Theory
Qualitative Interviewing and Grounded Theory Analysis
Stigma
Records of Diseases in Ancient China
The Logic of Practice
Like being put on an ice floe and shoved away”
Inventing Pain Medicine
A Critical Study of the Origins and Early Development of Hypodermic Medication
Using thematic analysis in psychology
Opioid pharmacovigilance
Estimating the costs of medicalization
Medicine as an Institution of Social Control
How Many Interviews Are Enough
Pharmaceuticalization of Society in Context
Medicalization and Social Control
No One Wants to Be the Candy Man
The pharmaceuticalisation of society? A framework for analysis
| Citations per year | 2 |
|---|---|
| Citation span | 2024 - 2026 (3) |
| Highly cited | No |