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Barriers to primary care physicians prescribing buprenorphine
Eliza Hutchinson1, Mary Catlin, C Holly A Andrilla
1University of Washington, Department of Family Medicine, Research Section, Seattle, Washington.
Annals of Family Medicine
|March 12, 2014
Summary
Few physicians prescribe buprenorphine-naloxone for opioid use disorder despite training. Lack of institutional and psychosocial support are key barriers to prescribing this effective treatment.
Area of Science:
- Addiction Medicine
- Public Health
- Pharmacology
Background:
- Buprenorphine-naloxone is effective for opioid use disorder (OUD).
- Physician adoption of buprenorphine-naloxone in Washington State is low.
- A training program aimed to increase buprenorphine-naloxone prescribing.
Purpose of the Study:
- Assess prescribing rates post-training.
- Identify barriers to buprenorphine-naloxone adoption in outpatient settings.
Main Methods:
- Surveyed 92 of 120 physicians trained in buprenorphine-naloxone prescribing.
- Collected data on demographics, prescribing status, and barriers.
- Analyzed responses from 78 eligible physicians.
Main Results:
- Only 28% of trained physicians prescribed buprenorphine-naloxone.
- Lack of institutional support was linked to not prescribing (P = .04).
- Insufficient mental health and psychosocial support were primary barriers for all physicians.
Conclusions:
- Physician training alone is insufficient to increase buprenorphine-naloxone prescribing.
- Pre- and post-training interventions are crucial.
- Targeted clinic support and technical assistance can improve buprenorphine-naloxone adoption.
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