Title |
Shared Responsibility: Massachusetts Legislators, Physicians, and An Act Relative to Substance Use Treatment, Education, and Prevention
|
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Published in |
The AMA Journal of Ethic, September 2016
|
DOI | 10.1001/journalofethics.2016.18.9.pfor2-1609 |
Pubmed ID | |
Authors |
Meghan Rudder, Lulu Tsao, Helen E Jack |
Abstract |
Recent passage of the Massachusetts law, An Act Relative to Substance Use, Treatment, Education, and Prevention, represents an admirable public health approach to substance use disorder (SUD), a stigmatized chronic disease that affects some of society's most vulnerable people. With its seven-day supply limit on first-time opioid prescriptions, this legislation takes an unusual approach to state government involvement in health care. By intervening in individual physicians' practices, state legislators have entered a space traditionally reserved for clinical teams. The seven-day supply limit and the process through which it was developed highlight competing priorities and dialogue between physicians and legislators, limits of physician self-regulation, and standards of evidence in policy making and health care. Addressing these issues requires both physicians and legislators to recognize and fulfill new responsibilities in order to better assist the populations they serve. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 5 | 36% |
Kenya | 1 | 7% |
South Africa | 1 | 7% |
United Kingdom | 1 | 7% |
Brazil | 1 | 7% |
Unknown | 5 | 36% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 6 | 43% |
Scientists | 6 | 43% |
Science communicators (journalists, bloggers, editors) | 1 | 7% |
Practitioners (doctors, other healthcare professionals) | 1 | 7% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 18 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 3 | 17% |
Student > Doctoral Student | 2 | 11% |
Student > Ph. D. Student | 2 | 11% |
Other | 1 | 6% |
Student > Master | 1 | 6% |
Other | 1 | 6% |
Unknown | 8 | 44% |
Readers by discipline | Count | As % |
---|---|---|
Psychology | 2 | 11% |
Linguistics | 1 | 6% |
Nursing and Health Professions | 1 | 6% |
Business, Management and Accounting | 1 | 6% |
Economics, Econometrics and Finance | 1 | 6% |
Other | 3 | 17% |
Unknown | 9 | 50% |