Increasingly, administrators address health care problems that must ultimately be resolved in the clinics by clinicians and patients. Financial considerations, health services research, and literature reviews may drive administrative interventions. A recent example involved reducing opioid dependence in chronic pain patients. Administrators and service directors developed a plan that clinicians felt risked their lives. Clinicians asked that security guards attend the care of these patients. Some clinicians and administrators viewed this as a hysterical response. This dilemma provides a useful opportunity to consider whether clinicians' responses in such a situation might be unrealistic and how such worthy goals might be safely and humanely achieved.
- iatrogenic addiction
- opioid addiction