TY - JOUR
KW - Facilitators
KW - Family Medicine
KW - internal medicine
KW - Medication for opioid use disorder
KW - opioid use disorder
KW - Physician assistant
KW - primary care providers barriers
KW - trainees
AU - S. M. Oros
AU - L. M. Christon
AU - K. S. Barth
AU - C. R. Berini
AU - B. L. Padgett
AU - V. A. Diaz
A1 - 
AB - OBJECTIVE: Utilization of medications for opioid use disorder (MOUD) has not been widely adopted by primary care providers. This study sought to identify interprofessional barriers and facilitators for use of MOUD (specifically naltrexone and buprenorphine) among current and future primary care providers in a southeastern academic center in South Carolina. METHOD: Faculty, residents, and students within family medicine, internal medicine, and a physician assistant program participated in focus group interviews, and completed a brief survey. Survey data were analyzed quantitatively, and focus group transcripts were analyzed using a deductive qualitative content analysis, based upon the theory of planned behavior. RESULTS: Seven groups (N = 46) completed focus group interviews and surveys. Survey results indicated that general attitudes towards MOUD were positive and did not differ significantly among groups. Subjective norms around prescribing and controllability (i.e., beliefs about whether prescribing was up to them) differed between specialties and between level of training groups. Focus group themes highlighted attitudes about MOUD (e.g., "opens the flood gates" to patients with addiction) and perceived facilitators and barriers of using MOUD in primary care settings. Participants felt that although MOUD in primary care would improve access and reduce stigma for patients, prescribing requires improved provider education and an integrated system of care. CONCLUSIONS: The results of this study provide an argument for tailoring education to specifically address the barriers primary care prescribers perceive. Results promote the utilization of active, hands-on learning approaches, to ultimately promote uptake of MOUD prescribing in the primary care setting in South Carolina.
AD - Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.; Department of Internal Medicine, Medical University of South Carolina, Charleston, SC, USA.; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.; Department of Family Medicine, Medical University of South Carolina, Charleston, SC, USA.; College of Medicine, Medical University of South Carolina, Charleston, SC, USA.; Department of Family Medicine, Medical University of South Carolina, Charleston, SC, USA.
BT - International journal of psychiatry in medicine
C5 - Education & Workforce; Opioids & Substance Use
CP - 1
CY - United States
DO - 10.1177/0091217420946240
IS - 1
JF - International journal of psychiatry in medicine
LA - eng
M1 - Journal Article
N2 - OBJECTIVE: Utilization of medications for opioid use disorder (MOUD) has not been widely adopted by primary care providers. This study sought to identify interprofessional barriers and facilitators for use of MOUD (specifically naltrexone and buprenorphine) among current and future primary care providers in a southeastern academic center in South Carolina. METHOD: Faculty, residents, and students within family medicine, internal medicine, and a physician assistant program participated in focus group interviews, and completed a brief survey. Survey data were analyzed quantitatively, and focus group transcripts were analyzed using a deductive qualitative content analysis, based upon the theory of planned behavior. RESULTS: Seven groups (N = 46) completed focus group interviews and surveys. Survey results indicated that general attitudes towards MOUD were positive and did not differ significantly among groups. Subjective norms around prescribing and controllability (i.e., beliefs about whether prescribing was up to them) differed between specialties and between level of training groups. Focus group themes highlighted attitudes about MOUD (e.g., "opens the flood gates" to patients with addiction) and perceived facilitators and barriers of using MOUD in primary care settings. Participants felt that although MOUD in primary care would improve access and reduce stigma for patients, prescribing requires improved provider education and an integrated system of care. CONCLUSIONS: The results of this study provide an argument for tailoring education to specifically address the barriers primary care prescribers perceive. Results promote the utilization of active, hands-on learning approaches, to ultimately promote uptake of MOUD prescribing in the primary care setting in South Carolina.
PP - United States
PY - 2021
SN - 1541-3527; 0091-2174
SP - 14
EP - 39
EP - 
T1 - Facilitators and barriers to utilization of medications for opioid use disorder in primary care in South Carolina
T2 - International journal of psychiatry in medicine
TI - Facilitators and barriers to utilization of medications for opioid use disorder in primary care in South Carolina
U1 - Education & Workforce; Opioids & Substance Use
U2 - 32726568
U3 - 10.1177/0091217420946240
VL - 56
VO - 1541-3527; 0091-2174
Y1 - 2021
Y2 - Jan
ER -