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

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. A survey through questionnaire form was conducted on 1204 physicians. Physicians were grouped by their med...

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Veröffentlicht in:Japanese journal of clinical oncology 2011-06, Vol.41 (6), p.783-791
Hauptverfasser: Kim, Myung-Hyun, Park, Hyeonggeun, Park, Eun Chul, Park, Keeho
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container_issue 6
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container_title Japanese journal of clinical oncology
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creator Kim, Myung-Hyun
Park, Hyeonggeun
Park, Eun Chul
Park, Keeho
description 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. 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. 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. 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.
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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. 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. 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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. 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numerical data</subject><subject>Practice Patterns, Physicians' - statistics &amp; numerical data</subject><subject>Republic of Korea</subject><subject>Research Design</subject><subject>Self Concept</subject><subject>Substance-Related Disorders - etiology</subject><subject>Substance-Related Disorders - prevention &amp; control</subject><subject>Surveys and Questionnaires</subject><subject>Tramadol - therapeutic use</subject><issn>0368-2811</issn><issn>1465-3621</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kDtPwzAURi0EoqUwsSNvDCjUju0kZkMVL1GJoeyR49w0KYkdbEco_55ULUx3Od_R1UHompJ7SiRb7nbaLuvREc5O0JzyREQsiekpmhOWZFGcUTpDF97vCCEi4-k5msVUkDjO4jkaHkNowlACVqbEX8b-tFBuAdsK9_XoG90o47Eq7BCwVkaDw71qDO6UUVvowIQHPNrBbHFpdbDO75ebia7xu3Wg8MSGGhqHQbl2nBwOwF2is0q1Hq6Od4E2z0-fq9do_fHytnpcR5pxGaK0pIrLFNT0uCwF1cCZ1LyIecUEk3HBJa2IrtI0E2lagCBCgCpFIqddxRbo9mDtnf0ewIe8a7yGtlUG7ODzLJGcJHJSLdDdgdTOeu-gynvXdMqNOSX5PnK-j5wfIk_0zdE7FB2U_-xfVfYLzcR6lQ</recordid><startdate>201106</startdate><enddate>201106</enddate><creator>Kim, Myung-Hyun</creator><creator>Park, Hyeonggeun</creator><creator>Park, Eun Chul</creator><creator>Park, Keeho</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201106</creationdate><title>Attitude and knowledge of physicians about cancer pain management: young doctors of South Korea in their early career</title><author>Kim, Myung-Hyun ; 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numerical data</topic><topic>Meperidine - therapeutic use</topic><topic>Neoplasms - complications</topic><topic>Pain - drug therapy</topic><topic>Pain - etiology</topic><topic>Pain Measurement</topic><topic>Physicians - statistics &amp; numerical data</topic><topic>Practice Patterns, Physicians' - statistics &amp; numerical data</topic><topic>Republic of Korea</topic><topic>Research Design</topic><topic>Self Concept</topic><topic>Substance-Related Disorders - etiology</topic><topic>Substance-Related Disorders - prevention &amp; control</topic><topic>Surveys and Questionnaires</topic><topic>Tramadol - therapeutic use</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Myung-Hyun</creatorcontrib><creatorcontrib>Park, Hyeonggeun</creatorcontrib><creatorcontrib>Park, Eun Chul</creatorcontrib><creatorcontrib>Park, Keeho</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Japanese journal of clinical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Myung-Hyun</au><au>Park, Hyeonggeun</au><au>Park, Eun Chul</au><au>Park, Keeho</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Attitude and knowledge of physicians about cancer pain management: young doctors of South Korea in their early career</atitle><jtitle>Japanese journal of clinical oncology</jtitle><addtitle>Jpn J Clin Oncol</addtitle><date>2011-06</date><risdate>2011</risdate><volume>41</volume><issue>6</issue><spage>783</spage><epage>791</epage><pages>783-791</pages><issn>0368-2811</issn><eissn>1465-3621</eissn><abstract>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. 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subjects 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
title Attitude and knowledge of physicians about cancer pain management: young doctors of South Korea in their early career
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