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Cleveland Clinic Journal of Medicine

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Review

Breaking the pain contract: A better controlled-substance agreement for patients on chronic opioid therapy

Daniel G. Tobin, MD, FACP, Kristine Keough Forte, MS, MA, DBioethics and Summer Johnson McGee, PhD, CPH
Cleveland Clinic Journal of Medicine November 2016, 83 (11) 827-835; DOI: https://doi.org/10.3949/ccjm.83a.15172
Daniel G. Tobin
Assistant Professor, Department of Internal Medicine, Yale University School of Medicine
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  • For correspondence: [email protected]
Kristine Keough Forte
Clinical Bioethicist, PeaceHealth, St. John, Medical Center and Clinics, Longview, WA
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Summer Johnson McGee
Associate Professor, Department of Management, University of New Haven, West Haven, CT
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Article Information

vol. 83 no. 11 827-835
DOI 
https://doi.org/10.3949/ccjm.83a.15172
PubMed 
27824537

Published By 
Cleveland Clinic Journal of Medicine
Print ISSN 
0891-1150
Online ISSN 
1939-2869
History 
  • Published online November 1, 2016.

Copyright & Usage 
Copyright © 2016 The Cleveland Clinic Foundation. All Rights Reserved.

Author Information

  1. Daniel G. Tobin, MD, FACP⇑
  1. Assistant Professor, Department of Internal Medicine, Yale University School of Medicine
  2. Yale-New Haven Hospital, Saint, Raphael Campus, New Haven, CT
  1. ADDRESS:
    Daniel G. Tobin, MD, FACP, Department of Internal Medicine, Yale University School of Medicine, Yale-New Haven Hospital, Saint Raphael Campus, 1450 Chapel Street, Private 309, New Haven, CT 06511; daniel.tobin{at}yale.edu
  1. Kristine Keough Forte, MS, MA, DBioethics
  1. Clinical Bioethicist, PeaceHealth, St. John, Medical Center and Clinics, Longview, WA
  1. Summer Johnson McGee, PhD, CPH
  1. Associate Professor, Department of Management, University of New Haven, West Haven, CT
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Cleveland Clinic Journal of Medicine: 83 (11)
Cleveland Clinic Journal of Medicine
Vol. 83, Issue 11
1 Nov 2016
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Breaking the pain contract: A better controlled-substance agreement for patients on chronic opioid therapy
Daniel G. Tobin, Kristine Keough Forte, Summer Johnson McGee
Cleveland Clinic Journal of Medicine Nov 2016, 83 (11) 827-835; DOI: 10.3949/ccjm.83a.15172

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Breaking the pain contract: A better controlled-substance agreement for patients on chronic opioid therapy
Daniel G. Tobin, Kristine Keough Forte, Summer Johnson McGee
Cleveland Clinic Journal of Medicine Nov 2016, 83 (11) 827-835; DOI: 10.3949/ccjm.83a.15172
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  • Article
    • ABSTRACT
    • PAIN AND ITS TREATMENT HAVE COSTS
    • THE SPECIAL ROLE OF THE PRIMARY CARE PHYSICIAN
    • A CONTROLLED-SUBSTANCE AGREEMENT INSTEAD OF A ‘NARCOTIC CONTRACT’
    • STIGMATIZING THE PATIENT
    • SHARED DECISION-MAKING AND CHRONIC OPIOID THERAPY
    • THE CONTROLLED-SUBSTANCE AGREEMENT: FOUR OBJECTIVES
    • A CHECKLIST FOR THE PHYSICIAN AND PATIENT
    • A BETTER TOOL
    • REFERENCES
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  • PDF

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