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Race, Ethnicity, and Pain
Treatment: Striving to Understand the Causes and Solutions to the Disparities
in Pain Treatment, Journal of Law, Medicine & Ethics, 29(1) J.
LAW, MED. & ETHICS
(2001) 52 [PDF]
Racial
and ethnic minorities are at higher risk for the ineffective treatment of pain.
While others have investigated racial and ethnic disparities in access to health
services generally, this article represents the first comprehensive review of
the literature on racial and ethnic disparities in the treatment of pain. In
addition to conducting this review, the author also outlines some of the causes
for the disparities as well as provides suggestions for future health-services
research in this area.
From Confrontation to Collaboration:
Collegial Accountability and the Expanding Role of Pharmacists in the Management
of Chronic Pain, Journal of Law, Medicine & Ethics, 29(1) J.
LAW, MED. & ETHICS
(2001) 69 [PDF]
The
war on drugs has created an environment where both physicians and pharmacists
are afraid to aggressively manage pain — which, for many patients, means horrific
unrelieved suffering. Although the policy-on-paper, as the author calls it,
regarding controlled substances has eased, the policy-in-practice has not, and
physicians and pharmacists are still fearful of prosecution or other disciplinary
action. As a solution, the author proposes and discusses in detail collaborative
drug therapy management for chronic pain.
Pain Management and Provider
Liability: No More Excuses, 29(1) J. LAW,
MED. & ETHICS (2001)
28 [PDF]
The
author confronts the fact that pain is undertreated at all levels of the American
health-care system and investigates how the threat of malpractice may change
this state of affairs. Specifically, the author analyzes existing and emerging
liability theories and doctrines that may be used to motivate physicians, hospitals,
nursing homes, and managed care organizations — with regard to the particular
standard of care they owe to the patient — to properly treat pain.
The
Girl Who Cried Pain: A Bias Against Women in the Treatment of Pain, Journal
of Law, Medicine & Ethics, 29(1) J. LAW,
MED. & ETHICS (2001)
13 [PDF]
In
general, women report more severe levels of pain, more frequent incidences of
pain, and pain of longer duration than men, but are nonetheless treated for
pain less aggressively. The authors investigate this paradox from two perspectives:
Do men and women in fact experience pain differently — whether biologically,
cognitively, and/or emotionally? And regardless of the answer, what accounts
for the differences in the pain treatment they receive, and what can we do to
correct this situation?
, Introduction: Relieving
Unnecessary, Treatable Pain for the Sake of Human Dignity, Journal of Law,
Medicine & Ethics, 29(1) J. LAW, MED.
& ETHICS (2001)11 [PDF]
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