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 a taxonomy of accountability relations between physicians and patients, I argue that opioid treatment agreements are justifiable for physicians to use in their provision of care only if they improve patient or public health outcomes, which has yet to be demonstrated.

中文翻译：

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阿片类药物治疗协议和患者责任

阿片类药物治疗协议是医生和患者之间的书面协议，其中列举了与阿片类药物相关的风险以及患者持续接受这些药物必须满足的要求。选择使用此类协议超出了标准的知情同意程序，具有独特的象征意义。具体而言，它表明医生认为让患者对遵守有关使用阿片类药物的各种协议负责是很重要的。在对医生和患者之间的责任关系进行分类之后，我认为只有在改善患者或公共卫生结果的情况下，阿片类药物治疗协议才有理由让医生在提供护理时使用，这一点尚未得到证实.