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Clinic-based treatment for opioid dependence: a qualitative inquiry
Suzanne McMurphy1, Judy Shea, Julia Switzer
1University of Pennsylvania, Philadelphia, 19104, USA.
Stigmatizing attitudes hinder opioid dependence treatment in primary care. Physician training and increased support services are key facilitators for improving access to care.
Area of Science:
- Addiction Medicine
- Primary Care Research
- Public Health
Background:
- Opioid dependence is a significant public health issue.
- Treatment availability in primary care settings remains limited.
- Understanding barriers and facilitators is crucial for expanding access.
Purpose of the Study:
- To identify barriers to treating opioid dependence in primary care.
- To identify facilitators for treating opioid dependence in primary care.
Main Methods:
- Conducted in-depth interviews with 27 clinic directors in New York State.
- Qualitative research methodology to explore perspectives on treatment.
Main Results:
- Stigmatizing attitudes towards patients with opioid dependence were a major barrier.
- Facilitators included physician training, enhanced staffing, and improved support services.
- Negative perceptions of patients (manipulative, demanding) were commonly reported.
Conclusions:
- Addressing attitudinal barriers is essential for increasing treatment availability.
- Promoting supportive factors can enhance office-based opioid dependence treatment.
- Findings highlight the need for systemic changes to improve care access.
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