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Attitude and knowledge of physicians about cancer pain management: young doctors of South Korea in their early career

Authors
 Myung-hyun Kim  ;  Hyeong Geun Park  ;  Eun Chul Park  ;  Keeho Park 
Citation
 JAPANESE JOURNAL OF CLINICAL ONCOLOGY, Vol.41(6) : 783-791, 2011 
Journal Title
 JAPANESE JOURNAL OF CLINICAL ONCOLOGY 
ISSN
 0368-2811 
Issue Date
2011
MeSH
Adrenal Cortex Hormones/therapeutic use ; Adult ; Analgesics, Opioid/therapeutic use* ; Anticonvulsants/therapeutic use ; Antidepressive Agents/therapeutic use ; Attitude of Health Personnel* ; Benzodiazepines/therapeutic use ; Codeine/therapeutic use ; Drug Prescriptions/statistics & numerical data ; Drug Therapy, Combination ; Drug Tolerance ; Female ; Fentanyl/therapeutic use ; Health Knowledge, Attitudes, Practice* ; Humans ; Male ; Medicine/statistics & numerical data ; Meperidine/therapeutic use ; Neoplasms/complications* ; Pain/drug therapy* ; Pain/etiology* ; Pain Measurement ; Physicians/statistics & numerical data* ; Practice Patterns, Physicians'/statistics & numerical data* ; Republic of Korea ; Research Design ; Self Concept ; Substance-Related Disorders/etiology ; Substance-Related Disorders/prevention & control* ; Surveys and Questionnaires ; Tramadol/therapeutic use
Keywords
cancer ; pain ; attitude ; knowledge ; barrier
Abstract
OBJECTIVE : This study is aimed at evaluating the attitude and knowledge about the optimal use of opioids and finding out the barriers to cancer pain management especially for young doctors in South Korea. METHODS : A survey through questionnaire form was conducted on 1204 physicians. Physicians were grouped by their medical specialties and personal characteristics. Specialties were grouped into internal medicine and family medicine doctors, surgeons, anesthesiologists, pediatricians, other board holders and general physicians. Personal characteristics were grouped by their past experiences and current surroundings. RESULTS : Though many doctors thought that they were fairly well educated for pain management strategy, a large population of physicians showed a negative attitude and inadequate knowledge status about cancer pain management. The degree of attitude and knowledge status was different as their specialties and personal experiences. The factors that affected doctors' attitude and knowledge were: (i) medical specialty, (ii) past history of using practical pain assessment tool, (iii) self-perception of knowledge status about pain management, (iv) experience of prescribing opioids, (v) experience of education for cancer pain management. Although many physicians had a passive attitude in prescribing opioid analgesics, they are willingly open to use opioids for cancer pain management in the future. The most important perceived barriers to optimal cancer pain management were the fear for risk of tolerance, drug addiction, side effects of opioid analgesics and knowledge deficit about opioid analgesics. CONCLUSIONS : From this study, we found that further education and practical training will be needed for adequate cancer pain management for young physicians in their early career.
Full Text
https://academic.oup.com/jjco/article/41/6/783/836675
DOI
10.1093/jjco/hyr043
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
Yonsei Authors
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/158193
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