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Opioid contract use is associated with physician training level and practice specialty
Bryan Keith Touchet1, William Robert Yates, Kim Annette Coon
1The University of Oklahoma College of Medicine-Tulsa, USA.
Journal of Opioid Management
|February 24, 2007
Summary
Opioid contracts are linked to prescriber factors like training and specialty, enhancing comfort in pain management. Further research is needed on patient and environmental influences.
Area of Science:
- Medical Education
- Pain Management
- Pharmacology
Background:
- Opioid contracts are common for managing opioid prescriptions but lack extensive study.
- Understanding factors influencing opioid contract use is a significant knowledge gap.
Purpose of the Study:
- To investigate correlates of opioid contract use among medical trainees and faculty.
- To identify prescriber-specific determinants influencing the adoption of opioid contracts.
Main Methods:
- Web-based survey distributed to faculty, medical students, and residents at the University of Oklahoma College of Medicine.
- Statistical analyses (Chi-square, ANOVA) used to correlate opioid contract use with demographic variables and survey responses.
- Subgroup analysis focused on prescribers of opioids for pain management.
Main Results:
- Opioid contract use significantly correlated with resident status, primary care specialty, and perceived risks of prescribing controlled drugs.
- Prescribers' estimations of patient alcohol and illicit drug abuse were also associated with contract use.
- Most contract users reported increased mastery and comfort in prescribing opioids.
Conclusions:
- Opioid contract use is influenced by prescriber-specific factors including training level, specialty, and risk assessment.
- These contracts may enhance physician confidence and facilitate appropriate opioid pain management.
- Further investigation into environmental and patient-specific factors is warranted.
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