Opioid Prescribing in Rural Family Practices: A Qualitative Study
Ivy A Click1, Jeri Ann Basden2, Joy M Bohannon3
1a Department of Family Medicine , East Tennessee State University , Johnson City , Tennessee , USA.
Substance Use & Misuse
|September 1, 2017
Summary
Physicians in rural Appalachia face challenges balancing pain management with addiction risks when prescribing controlled drugs. Understanding prescriber decision-making is crucial for addressing the opioid crisis.
Area of Science:
- Public Health
- Medical Sociology
- Pain Management
Background:
- Rural East Tennessee experiences rising rates of controlled drug prescriptions and overdose deaths.
- Limited understanding exists regarding physician prescribing decisions in relation to addiction concerns.
Purpose of the Study:
- To explore factors influencing physicians' controlled drug prescribing for non-cancer pain.
- Utilize focus groups to gather insights into prescriber decision-making processes.
Main Methods:
- Qualitative study employing focus groups in five family medicine clinics.
- Semi-structured interview guide used to discuss prescription drug abuse and misuse.
Main Results:
- Identified four key themes: evolving prescribing patterns, influences on prescribing, use/barriers of prescription drug monitoring programs (PDMPs), and prescribing to women of childbearing age.
- Multiple subthemes emerged within each of the four main themes.
Conclusions:
- Physicians grapple with balancing patient symptom treatment against the potential harms of controlled substances.
- Prescribers recognize their role in the opioid crisis and its potential solutions in rural Appalachia.
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