The strictest regulation of opioid prescribing is in Washington state. In July, rules affecting osteopathic physicians and nonphysician prescribers took effect. The rules, which cover allopathic physicians starting in January 2012, include detailed instructions on how to evaluate and care for patients with chronic noncancer pain.
Also required are written treatment plans known as "patient contracts" that call for mandatory, periodic urine screenings.Links:
**Article, States try more aggressive Rx opioid controls
, American Medical News,
**Podcast: Pain Contracts: Great Good or Great Harm?, Scott Fishman, MD
, The Bioethics Channel
Labels: pain policy; pain contracts; medical professionalism; bioethics; medical ethics