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Evaluating Barriers to Opioid Use Disorder Treatment From Patients' Perspectives
Cecilia M T Nguyen1, Grace Kubiak1, Neil Dixit1
1Medical College of Wisconsin, Milwaukee, WI.
Primer (Leawood, Kan.)
|February 26, 2024
Summary
Medications for opioid use disorder (MOUD) are effective but underutilized. Key barriers include stigma, lack of provider knowledge, and structural issues like transportation and incarceration history, hindering access to MOUD treatment.
Area of Science:
- Addiction Medicine
- Public Health
- Qualitative Research
Background:
- Medications for opioid use disorder (MOUD) are highly effective yet underutilized in the U.S.
- Barriers include stigma, insufficient provider knowledge, and limited prescribing capacity.
- This study investigated barriers to MOUD access in Milwaukee, Wisconsin.
Purpose of the Study:
- To identify and understand the barriers patients face when accessing medications for opioid use disorder (MOUD).
- To elucidate the patient perspective on accessing MOUD treatment within a specific urban setting.
Main Methods:
- Conducted semistructured interviews with 30 patients receiving MOUD.
- Utilized the qualitative analysis Framework Method for data analysis.
- Transcribed interviews verbatim and analyzed coded data for common themes.
Main Results:
- Patient motivation for treatment was primarily self-driven or for loved ones.
- Identified structural barriers including housing instability, incarceration history, insurance issues, and transportation challenges.
- Concerns regarding treatment denial and efficacy were also reported by patients.
Conclusions:
- Patient motivation is a key factor, but structural barriers significantly impede MOUD access.
- Lack of transportation, prior incarceration, and limited clinician availability are critical obstacles.
- Further research is needed on structural inadequacies and biases affecting MOUD access and quality.
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