{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T08:12:31Z","timestamp":1777968751210,"version":"3.51.4"},"reference-count":67,"publisher":"Informa UK Limited","issue":"1","license":[{"start":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:00:00Z","timestamp":1777939200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Elisabeth and Alfred Ahlqvist Foundation"},{"name":"Region Uppsala, N\u00e4ra v\u00e5rd och h\u00e4lsa","award":["APCF-969794"],"award-info":[{"award-number":["APCF-969794"]}]}],"content-domain":{"domain":["www.tandfonline.com"],"crossmark-restriction":true},"short-container-title":["Scandinavian Journal of Primary Health Care"],"published-print":{"date-parts":[[2026,12,15]]},"DOI":"10.1080\/02813432.2026.2665697","type":"journal-article","created":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T07:14:36Z","timestamp":1777965276000},"update-policy":"https:\/\/doi.org\/10.1080\/tandf_crossmark_01","source":"Crossref","is-referenced-by-count":0,"title":["The constant conflicts of opioid prescribing \u2013 GPs\u2019 views on treating chronic pain with opioids in primary care: a reflexive qualitative analysis"],"prefix":"10.1080","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-0956-9249","authenticated-orcid":false,"given":"Anna","family":"Svensson","sequence":"first","affiliation":[{"name":"Academic Primary Health Care, Region Uppsala","place":["Uppsala, Sweden"]},{"name":"Department of Public Health and Caring Sciences, Section of Family Medicine, Uppsala University","place":["Uppsala, Sweden"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hanna","family":"Ljungvall","sequence":"additional","affiliation":[{"name":"Department of Social Work, Uppsala University","place":["Uppsala, Sweden"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Kempen","sequence":"additional","affiliation":[{"name":"Utrecht Institute for Pharmaceutical Sciences, Utrecht University","place":["Utrecht, The Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sofia","family":"K\u00e4lvemark-Sporrong","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, Social Pharmacy, Uppsala University","place":["Uppsala, Sweden"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Magnus","family":"Peterson","sequence":"additional","affiliation":[{"name":"Academic Primary Health Care, Region Uppsala","place":["Uppsala, Sweden"]},{"name":"Department of Public Health and Caring Sciences, Section of Family Medicine, Uppsala University","place":["Uppsala, Sweden"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"301","published-online":{"date-parts":[[2026,5,5]]},"reference":[{"key":"e_1_3_3_2_1","unstructured":"Definitions of chronic pain syndromes. International Association for the Study of Pain (IASP); 2026 [Internet] [cited 2026 Feb 18]. Available from: https:\/\/www.iasp-pain.org\/advocacy\/definitions-of-chronic-pain-syndromes\/"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejpain.2005.06.009"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30925-9"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)00393-7"},{"key":"e_1_3_3_6_1","unstructured":"L\u00e4kemedelsverket. L\u00e4kemedelsbehandling av l\u00e5ngvarig sm\u00e4rta hos vuxna \u2013 behandlingsrekommendation. Uppsala: L\u00e4kemedelsverket; 2017."},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.rr7103a1"},{"key":"e_1_3_3_8_1","unstructured":"B\u00e4ckryd E. Att navigera mellan opioidr\u00e4dsla och opiocentrism i dagens v\u00e5rd. L\u00e4kartidningen; 2022 [Internet] [cited 2023 Oct 2]. Available from: https:\/\/lakartidningen.se\/klinik-och-vetenskap-1\/artiklar-1\/temaartikel\/2022\/01\/att-navigera-mellan-opioidradsla-och-opiocentrism-i-dagens-vard\/"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.18472"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.0899"},{"issue":"7","key":"e_1_3_3_11_1","doi-asserted-by":"crossref","first-page":"S7","DOI":"10.36076\/ppj.2023.26.S7","article-title":"Comprehensive, evidence-based, consensus guidelines for prescription of opioids for chronic non-cancer pain from the American Society of Interventional Pain Physicians (ASIPP)","volume":"26","author":"Manchikanti L","year":"2023","unstructured":"Manchikanti L, Kaye AM, Knezevic NN, et al. Comprehensive, evidence-based, consensus guidelines for prescription of opioids for chronic non-cancer pain from the American Society of Interventional Pain Physicians (ASIPP). Pain Physician. 2023;26(7S):S7\u2013S126.","journal-title":"Pain Physician"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2018.12.007"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.51475"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.7326\/M14-2559"},{"key":"e_1_3_3_15_1","unstructured":"F\u00f6rskrivning av opioider i Sverige Anv\u00e4ndning \u00f6ver tid. Rapp Fr\u00e5n L\u00e4kemedelsverket. Dnr: 4.3.1-2018-102265; 2020 [Internet]. Available from: https:\/\/www.lakemedelsverket.se\/4abcb6\/globalassets\/dokument\/publikationer\/lakemedelsprodukter-och-narkotika\/rapport-forskrivning-av-opioider-i-sverige-anvandning-over-tid.pdf"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11096-024-01849-0"},{"key":"e_1_3_3_17_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2018.7104"},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinthera.2013.10.001"},{"key":"e_1_3_3_19_1","unstructured":"F\u00f6rskrivning av opioider i Sverige L\u00e4kemedel doser och diagnoser.Uppsala: L\u00e4kemedelsverket; 2020 (Dnr: 4.3.1-2018-102265)."},{"key":"e_1_3_3_20_1","unstructured":"B\u00e4ckryd E. Dynamiken i f\u00f6rskrivningen av opioider i Sverige 2000\u20132015. Stockholm: L\u00e4kartidningen 2017114EFUE; 2017."},{"key":"e_1_3_3_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/bcp.70177"},{"key":"e_1_3_3_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2022.109402"},{"key":"e_1_3_3_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejp.2243"},{"key":"e_1_3_3_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40265-020-01368-y"},{"key":"e_1_3_3_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-021-05449-5"},{"key":"e_1_3_3_26_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.11013"},{"key":"e_1_3_3_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000002331"},{"key":"e_1_3_3_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000003803"},{"key":"e_1_3_3_29_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-054945"},{"key":"e_1_3_3_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12875-017-0663-8"},{"key":"e_1_3_3_31_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0300954"},{"key":"e_1_3_3_32_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj-2021-066375"},{"key":"e_1_3_3_33_1","doi-asserted-by":"publisher","DOI":"10.3399\/BJGP.2021.0537"},{"key":"e_1_3_3_34_1","doi-asserted-by":"publisher","DOI":"10.1177\/20494637211025560"},{"key":"e_1_3_3_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-020-06253-8"},{"key":"e_1_3_3_36_1","doi-asserted-by":"publisher","DOI":"10.1093\/pm\/pnaa045"},{"key":"e_1_3_3_37_1","unstructured":"Personcentrerat och sammanh\u00e5llet v\u00e5rdf\u00f6rlopp Sm\u00e4rta \u2013 l\u00e5ngvarig hos vuxna. Stockholm: Sveriges Regioner i Samverkan; 2022."},{"key":"e_1_3_3_38_1","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmt033"},{"issue":"11","key":"e_1_3_3_39_1","first-page":"832","article-title":"What are the most common conditions in primary care?","volume":"64","author":"Finley CR","year":"2018","unstructured":"Finley CR, Chan DS, Garrison S, et al. What are the most common conditions in primary care? Can Fam Physician. 2018;64(11):832\u2013840.","journal-title":"Can Fam Physician"},{"key":"e_1_3_3_40_1","unstructured":"Sweden: health system summary 2024. OBS. European Observatory on Health Systems and Policies; 2025 [Internet] [cited 2025 Nov 10]. Available from: https:\/\/eurohealthobservatory.who.int\/publications\/i\/sweden-health-system-summary-2024"},{"key":"e_1_3_3_41_1","unstructured":"Rehabilitation guarantee: evaluation of the initiation of the national rehabilitation guarantee for common mental disorders and backpain. Karolinska Institutet; 2025 [Internet] [cited 2025 Nov 10]. Available from: https:\/\/ki.se\/en\/imm\/research\/units-at-imm\/unit-of-intervention-and-implementation-research-in-occupational-health\/rehabilitation-guarantee-evaluation-of-the-initiation-of-the-national-rehabilitation-guarantee-for-common-mental-disorders-and-backpain"},{"key":"e_1_3_3_42_1","doi-asserted-by":"publisher","DOI":"10.1515\/sjpain-2021-0171"},{"key":"e_1_3_3_43_1","doi-asserted-by":"publisher","DOI":"10.1080\/02813432.2018.1459241"},{"key":"e_1_3_3_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0304-3959(99)00036-6"},{"key":"e_1_3_3_45_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_3_3_46_1","unstructured":"Silverman D. Interpreting qualitative data. 6th ed. London: SAGE Publications; 2020."},{"key":"e_1_3_3_47_1","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1628806"},{"key":"e_1_3_3_48_1","unstructured":"Beauchamp TL Childress JF. Principles of biomedical ethics. 8th ed. New York: Oxford University Press; 2019."},{"key":"e_1_3_3_49_1","unstructured":"Plan ska tas fram: tak f\u00f6r antal listade patienter per l\u00e4kare; 2025 [Internet] [cited 2025 Nov 28]. Available from: https:\/\/regionuppsala.se\/politik-och-paverkan\/pressrum\/2022\/juni\/plan-ska-tas-fram-tak-for-antal-listade-patienter-per-lakare\/"},{"key":"e_1_3_3_50_1","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1704846"},{"key":"e_1_3_3_51_1","doi-asserted-by":"publisher","DOI":"10.1002\/capr.12360"},{"key":"e_1_3_3_52_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_3_3_53_1","unstructured":"Etikprovningsmyndigheten; 2023. Available from: https:\/\/etikprovningsmyndigheten.se\/wp-content\/uploads\/2024\/05\/Guide-to-the-ethical-review_webb.pdf"},{"key":"#cr-split#-e_1_3_3_54_1.1","unstructured":"Regulation - 2016\/679 - EN - gdpr - EUR-Lex"},{"key":"#cr-split#-e_1_3_3_54_1.2","unstructured":"2025 [Internet] [cited 2025 Feb 20]. Available from: https:\/\/eur-lex.europa.eu\/eli\/reg\/2016\/679\/oj\/eng"},{"key":"e_1_3_3_55_1","doi-asserted-by":"publisher","DOI":"10.1136\/eb-2015-102054"},{"key":"e_1_3_3_56_1","doi-asserted-by":"crossref","unstructured":"Carse A Thomas TA Rushton CH. What is moral distress? Understanding context sources and consequences. In: Rushton CH editor. Moral resilience: transforming moral suffering in healthcare. Oxford: Oxford University Press. p. 29\u201361; 2024.","DOI":"10.1093\/oso\/9780197667149.003.0003"},{"key":"e_1_3_3_57_1","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmaa148"},{"key":"e_1_3_3_58_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12910-023-00958-1"},{"key":"e_1_3_3_59_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2019.10.005"},{"key":"e_1_3_3_60_1","doi-asserted-by":"publisher","DOI":"10.1093\/pm\/pnv083"},{"key":"e_1_3_3_61_1","doi-asserted-by":"publisher","DOI":"10.1136\/medethics-2013-101320"},{"key":"e_1_3_3_62_1","doi-asserted-by":"publisher","DOI":"10.1080\/03075079.2024.2322093"},{"key":"e_1_3_3_63_1","unstructured":"Smith-Oka V. Becoming gods: medical training in Mexican hospitals. New Brunswick: Rutgers University Press; 2021 [Internet] [cited 2024 Jun 12]. Available from: http:\/\/ebookcentral.proquest.com\/lib\/uu\/detail.action?docID=6661533"},{"key":"e_1_3_3_64_1","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmz083"},{"key":"e_1_3_3_65_1","doi-asserted-by":"publisher","DOI":"10.1370\/afm.2413"},{"key":"e_1_3_3_66_1","doi-asserted-by":"publisher","DOI":"10.1097\/CEH.0000000000000062"},{"key":"e_1_3_3_67_1","unstructured":"Kempen T. Improved treatment for patients with long-term opioid therapy for non-cancer pain in primary care (Opi-Prim) [Clinical trial registration]. clinicaltrials.gov; 2025 [Internet] [cited 2025 Dec 5]. Report No. NCT06856733. Available from: https:\/\/clinicaltrials.gov\/study\/NCT06856733"}],"container-title":["Scandinavian Journal of Primary Health Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.tandfonline.com\/doi\/pdf\/10.1080\/02813432.2026.2665697","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T07:14:41Z","timestamp":1777965281000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.tandfonline.com\/doi\/full\/10.1080\/02813432.2026.2665697"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,5]]},"references-count":67,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,12,15]]}},"alternative-id":["10.1080\/02813432.2026.2665697"],"URL":"https:\/\/doi.org\/10.1080\/02813432.2026.2665697","relation":{},"ISSN":["0281-3432","1502-7724"],"issn-type":[{"value":"0281-3432","type":"print"},{"value":"1502-7724","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,5]]},"assertion":[{"value":"The publishing and review policy for this title is described in its Aims & Scope.","order":1,"name":"peerreview_statement","label":"Peer Review Statement"},{"value":"http:\/\/www.tandfonline.com\/action\/journalInformation?show=aimsScope&journalCode=ipri20","URL":"http:\/\/www.tandfonline.com\/action\/journalInformation?show=aimsScope&journalCode=ipri20","order":2,"name":"aims_and_scope_url","label":"Aim & Scope"},{"value":"2025-09-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-05","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"2665697"}}