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Preparing Sedgwick County Physicians to Treat Addiction: A Mixed-Methods Study.

Jason Nayar1, Melinda Chenault1, Elizabeth Ablah1

  • 1The University of Kansas School of Medicine-Wichita, Wichita, Kansas, Department of Population Health.

Kansas Journal of Medicine
|May 15, 2026
PubMed
Summary
This summary is machine-generated.

Physicians frequently screen for and refer patients with substance use disorders (SUDs), but few directly treat them due to barriers like limited resources and training. Improving physician education and resource awareness can enhance SUD care.

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Area of Science:

  • Public Health
  • Medical Education
  • Addiction Medicine

Background:

  • Substance use disorders (SUDs) present a significant public health issue in the US, with many individuals not receiving necessary treatment.
  • Physicians are crucial for identifying and managing SUDs through screening, brief intervention, referral, and treatment (SBIRT).
  • Barriers like inadequate training, stigma, and poor awareness of treatment options hinder physician involvement in SUD care.

Purpose of the Study:

  • To investigate physician practices regarding SBIRT for SUD in Sedgwick County, Kansas.
  • To identify specific barriers and facilitators influencing physician engagement in SUD care.

Main Methods:

  • A mixed-methods approach combining structured qualitative interviews and an electronic survey.
  • Twenty-six physicians, residents, and medical students participated in interviews.
  • 253 physicians, residents, and medical students completed the electronic survey (17% response rate).

Main Results:

  • Nearly half of physicians reported screening (49%) and referring (47%) patients for SUD.
  • Fewer physicians reported providing brief interventions (38%) or direct treatment (17%).
  • Key barriers included limited knowledge of local treatment resources, patient non-adherence, and time constraints.

Conclusions:

  • While physicians are involved in screening and referral for SUD, direct treatment engagement is limited.
  • Enhancing physician training, increasing awareness of available treatment resources, and implementing systemic support are vital.
  • These improvements can boost physician participation in SUD care and improve patient access to treatment.