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  1. Opioid Treatment Agreements and Patient Accountability.Larisa Svirsky - 2021 - Hastings Center Report 51 (4):46-9.
    Opioid treatment agreements are written agreements between physicians and patients enumerating the risks associated with opioid medications along with the requirements that patients must meet to receive these medications on an ongoing basis. The choice to use such agreements goes beyond the standard informed consent process, and has a distinctive symbolic significance. Specifically, it suggests that physicians regard it as important to hold their patients accountable for adhering to various protocols regarding the use of their opioid medications. After laying out (...)
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  • Physician Liability for Suicide after Negligent Tapering of Opioids.Mark A. Rothstein & Julia Irzyk - 2022 - Journal of Law, Medicine and Ethics 50 (1):184-189.
    The precipitous and medically contraindicated reduction or “tapering” of opioids for patients with chronic pain due to serious medical conditions has caused needless suffering and, increasingly, suicide. Physicians could be liable for wrongful death based on negligent tapering of opioids.
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  • Defending Opioid Treatment Agreements: Disclosure, Not Promises.Joshua B. Rager & Peter H. Schwartz - 2017 - Hastings Center Report 47 (3):24-33.
    In order to receive controlled pain medications for chronic non-oncologic pain, patients often must sign a “narcotic contract” or “opioid treatment agreement” in which they promise not to give pills to others, use illegal drugs, or seek controlled medications from health care providers. In addition, they must agree to use the medication as prescribed and to come to the clinic for drug testing and pill counts. Patients acknowledge that if they violate the opioid treatment agreement, they may no longer receive (...)
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  • Letter to the Editor.Mark Collen - 2011 - American Journal of Bioethics 11 (2):48-48.
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  • A Rose by Any Other Name: Pain Contracts/Agreements.Myra Christopher, Nick Shuler, Lisa Robin, Ben Rich, Steve Passik, Carlton Haywood, Carmen Green, Aaron Gilson, Lennie Duensing, Robert Arnold, Evan Anderson & Richard Payne - 2010 - American Journal of Bioethics 10 (11):5-12.
  • What's trust got to do with it? Revisiting opioid contracts.Daniel Z. Buchman & Anita Ho - 2014 - Journal of Medical Ethics 40 (10):673-677.
    Prescription opioid abuse (POA) is an escalating clinical and public health problem. Physician worries about iatrogenic addiction and whether patients are ‘drug seeking’, ‘abusing’ and ‘diverting’ prescription opioids exist against a backdrop of professional and legal consequences of prescribing that have created a climate of distrust in chronic pain management. One attempt to circumvent these worries is the use of opioid contracts that outline conditions patients must agree to in order to receive opioids. Opioid contracts have received some scholarly attention, (...)
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  • ‘First Do No Harm’: physician discretion, racial disparities and opioid treatment agreements.Adrienne Sabine Beck, Larisa Svirsky & Dana Howard - 2022 - Journal of Medical Ethics 48 (10):753-758.
    The increasing use of opioid treatment agreements has prompted debate within the medical community about ethical challenges with respect to their implementation. The focus of debate is usually on the efficacy of OTAs at reducing opioid misuse, how OTAs may undermine trust between physicians and patients and the potential coercive nature of requiring patients to sign such agreements as a condition for receiving pain care. An important consideration missing from these conversations is the potential for racial bias in the current (...)
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