社会疮疤被发现会影响对于镇痛药物滥用障碍患者（OUD）的护理。本质性研究旨在了解医疗卫生工作者如何在医疗资料中对癌痛和 OUD 患者表达疮疤。这项描述性研究采用主题分析方法对 2015 年至 2020 年间在三级医疗中心对于 25 名住院中当前或之前有镇痛药物滥用障碍和癌症的患者进行的 40 个与疼痛有关的住院记录进行研究。代码本采用了明确的疮疤架构，新出现的主题通过迭代比较的方法被识别出来。遵循 COREQ 准则。在这些医疗记录中，发现了许多显示出多个疮疤的表示。责备和刻板印象等原因阻碍了对疼痛的治疗，而法律政策和非治疗倡导者等促进因素可能成为促进或阻碍疼痛治疗的积极或消极的决定因素。在医疗环境内由已知的提供者提供的护理很大程度上促进了改善疼痛治疗。必须解决医疗卫生工作者存在的疮疤问题，因为它们在数量和质量上都影响着病人的护理，尤其是对于疼痛治疗的访问。由已知的护理提供者提供的连续护理可能会改善患有癌症和 OUD 的病人的疼痛治疗。版权所有©2023，由 Elsevier Inc. 发布。

Stigma is known to impact the care of patients with opioid use disorder (OUD).This qualitative study seeks to understand how stigma is expressed in the medical chart by healthcare workers towards patients with cancer pain and OUD treated at an academic medical center.This descriptive qualitative study utilized a thematic analysis approach to analyze the medical charts of 25 hospitalized patients with current or previous opioid use disorder and cancer with respect to their pain care in forty pain-related hospital admissions to a tertiary academic center from 2015-2020. The codebook utilized a well-characterized stigma framework and emerging themes were identified through an iterative, comparative method. COREQ guidelines were followed.Evidence of stigma marking was present in the medical chart aligning with several intersecting stigmas. Drivers such as blame and stereotypes impeded pain care, while facilitators such as legal or policy influences and non-care advocates could be either positive or negative determinants to pain care. Care by known providers within the healthcare environment was largely a facilitator of improved pain care.Healthcare provider stigma must be addressed as its effects are both quantitatively and qualitatively affecting patient care; in particular access to pain treatment. Continuity of care by known care providers may improve pain care for patients with cancer and OUD who are acutely hospitalized.Copyright © 2023. Published by Elsevier Inc.