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Cleve Clin J Med. 2016 Nov;83(11):827-835. doi: 10.3949/ccjm.83a.15172.

Breaking the pain contract: A better controlled-substance agreement for patients on chronic opioid therapy.

Author information

1
Assistant Professor, Department of Internal Medicine, Yale University School of Medicine, New Haven, CT, USA. E-mail: daniel.tobin@yale.edu.
2
Yale-New Haven Hospital, Saint Raphael Campus, New Haven, CT, USA.
3
Clinical Bioethicist, PeaceHealth, St. John Medical Center and Clinics, Longview, WA, USA.
4
Associate Professor, Department of Management, University of New Haven, West Haven, CT, USA.

Abstract

"Pain contracts" for patients receiving long-term opioid therapy, though well-intentioned, often stigmatize the patient and erode trust between patient and physician. This article discusses how to improve these agreements to promote adherence, safety, trust, and shared decision-making.

PMID:
27824537
DOI:
10.3949/ccjm.83a.15172
[Indexed for MEDLINE]
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