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Exploring Diversion Concerns as a Modifiable Buprenorphine-prescribing Barrier Among Primary Care Professionals
Journal of Addiction Medicine
|July 1, 2026
Summary
Primary care professionals
Area of Science:
- Addiction Medicine
- Public Health
- Primary Care Practice
Background:
- Increasing medications for opioid use disorder (MOUD) prescribing by primary care professionals (PCPs) is crucial for reducing overdose deaths.
- PCPs express significant concerns about prescription diversion, hindering buprenorphine adoption.
- Addressing these diversion concerns is key to expanding access to MOUD.
Purpose of the Study:
- To understand and contextualize diversion concerns among PCPs regarding buprenorphine prescribing.
- To inform implementation strategies for supporting buprenorphine adoption in primary care.
- To identify factors influencing PCP prescribing behavior related to MOUD.
Main Methods:
- Conducted semistructured interviews with 26 PCPs in Ohio.
- Utilized three-step thematic analysis of interview transcripts.
- Identified key themes related to PCP diversion concerns and prescribing.
Main Results:
- Diversion concerns commonly influence PCP willingness and methods for prescribing buprenorphine.
- Three themes emerged: diverse concerns impact prescribing, experience/harm reduction views matter, and specific information can motivate prescribing.
- Concerns about diversion are a significant barrier for both current and non-prescribers.
Conclusions:
- Buprenorphine, vital for reducing opioid use disorder mortality, remains underutilized in primary care due to diversion fears.
- Overcoming diversion concerns requires leveraging data and anecdotes on diversion's impact and reasons.
- Targeted information strategies can help PCPs overcome barriers to prescribing MOUD.
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