Related Experiment Video
Updated: Oct 10, 2025
05:10
Drug Repurposing Hypothesis Generation Using the "RE:fine Drugs" System
Published on: December 11, 2016
9.8K
Transforming Prescription Opioid Practices in Primary Care With Change Theory
Rob E Carpenter1, Dave Silberman1,2, Jody K Takemoto3
1The University of Texas at Tyler, Tyler, TX, USA.
Health Services Insights
|December 9, 2021
Summary
Primary care providers can improve opioid management by implementing focused change initiatives. Key strategies include leadership support, defining work standards, and conducting pre- and post-visit reviews for safer, effective opioid therapy.
Area of Science:
- Public Health
- Primary Care Medicine
- Health Policy
Background:
- The opioid epidemic presents a significant public health challenge.
- Primary care providers are crucial in managing opioid prescriptions but face challenges, leading some to opt out of prescribing.
- This exodus from opioid prescribing can weaken primary care's role in opioid management.
Purpose of the Study:
- To identify strategies for primary care providers to deliver opioid therapy safely and effectively.
- To understand how to mitigate the negative impacts of the opioid crisis on primary care.
Main Methods:
- Inductive analysis of qualitative data to identify common themes in opioid management strategies.
- Deductive analysis of these themes using Kotter's change theory.
- Focus on chronic opioid therapy within a primary care setting.
Main Results:
- Primary care providers are well-positioned to positively influence opioid management.
- Five key themes emerged: leadership support, standardizing work, pre-visit reviews, post-visit reviews, and progress measurement.
- These themes, analyzed through Kotter's change theory, offer a framework for implementation.
Conclusions:
- Focused change initiatives can enhance safe and effective opioid delivery in primary care.
- The findings provide actionable insights for healthcare management and organizations.
- Implementing these strategies can help sustain chronic opioid therapy within primary care settings.
Related Concept Videos
01:18Introduction To Health Care Delivery System
3.3K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
3.3K
01:25Analgesia and Pain Management
917
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
917
01:02Prescription, Nonprescription and Orphan Drugs
891
Prescription drugs require a prescription from a medical practitioner and can only be obtained from a pharmacy. They have many applications, including treating pain, anxiety, and hypertension.
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
891
01:30Primary Healthcare Services
1.6K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.6K
01:30Stress Prevention and Stress Management Techniques VI
77
Adopting a healthier lifestyle often requires overcoming significant challenges, but leveraging psychological, social, and cultural resources can facilitate meaningful change. Effective self-change hinges on understanding and applying key tools such as motivation and goal setting, which help sustain efforts toward long-term health benefits.
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
77
01:24Operant Conditioning Intervention
154
Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
In operant conditioning, behaviors that are...
154