TY - JOUR
AU - S. Lawson
AU - A. Hamilton
AU - J. Lazarus
AU - G. A. Jaffe
AU - E. Li
AU - L. Weinstein
AU - S. Fidler
AU - E. Kelly
A1 - 
AB - INTRODUCTION: Despite effective treatment for opioid use disorder, access to care is limited. Increased availability of evidence-based medication for opioid use disorder (MOUD) treatment within primary care is urgently needed. This study describes efforts to increase MOUD services within a large urban primary care practice. METHODS: After an internal assessment of barriers to MOUD services, a two-phase approach was used to educate providers and to implement MOUD services within a primary care practice over 2.5 years. Physicians became X-waiver certified in the education phase and completed four internal training sessions. Physicians completed pre-post surveys to assess their intention to prescribe MOUD. In the implementation phase, an interdisciplinary team designed accessible MOUD clinical hours. The RE-AIM model guided the evaluation of the MOUD training and services. The clinic evaluation included a medical records review, a provider focus group (n = 6), and patient interviews (n = 6). RESULTS: Pre-post surveys indicated that providers did not increase their intentions to prescribe MOUD. Once MOUD clinical hours were operational, the number of providers treating patients with MOUD increased substantially. Patients who received these services found them low-barrier, non-stigmatizing, and effective. The clinical team was satisfied with service delivery but offered suggestions for improvement for the whole primary care team. CONCLUSIONS: Increasing access to MOUD services within primary care may require iterative efforts to overcome practice-specific barriers, and gains may still be moderate. Training in MOUD services should focus on the whole primary care team as it requires interdisciplinary coordination to deliver high-quality services.
AD - Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.; Department of Family and Community Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.; Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada.; Department of Family and Community Medicine & Addiction Medicine Program, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.; Center for Social Medicine and Humanities, Department of Psychiatry, Semel Institute, University of California, Los Angeles, California, USA.
AN - 40325606
BT - Subst Use Misuse
C5 - Opioids & Substance Use; Education & Workforce
CP - 9
DO - 10.1080/10826084.2025.2496931
DP - NLM
ET - 20250505
IS - 9
JF - Subst Use Misuse
LA - eng
N2 - INTRODUCTION: Despite effective treatment for opioid use disorder, access to care is limited. Increased availability of evidence-based medication for opioid use disorder (MOUD) treatment within primary care is urgently needed. This study describes efforts to increase MOUD services within a large urban primary care practice. METHODS: After an internal assessment of barriers to MOUD services, a two-phase approach was used to educate providers and to implement MOUD services within a primary care practice over 2.5 years. Physicians became X-waiver certified in the education phase and completed four internal training sessions. Physicians completed pre-post surveys to assess their intention to prescribe MOUD. In the implementation phase, an interdisciplinary team designed accessible MOUD clinical hours. The RE-AIM model guided the evaluation of the MOUD training and services. The clinic evaluation included a medical records review, a provider focus group (n = 6), and patient interviews (n = 6). RESULTS: Pre-post surveys indicated that providers did not increase their intentions to prescribe MOUD. Once MOUD clinical hours were operational, the number of providers treating patients with MOUD increased substantially. Patients who received these services found them low-barrier, non-stigmatizing, and effective. The clinical team was satisfied with service delivery but offered suggestions for improvement for the whole primary care team. CONCLUSIONS: Increasing access to MOUD services within primary care may require iterative efforts to overcome practice-specific barriers, and gains may still be moderate. Training in MOUD services should focus on the whole primary care team as it requires interdisciplinary coordination to deliver high-quality services.
PY - 2025
SN - 1082-6084
SP - 1308
EP - 1318+
ST - Evaluation of a Multistage Implementation of Medication for Opioid Use Disorder Services in Primary Care
T1 - Evaluation of a Multistage Implementation of Medication for Opioid Use Disorder Services in Primary Care
T2 - Subst Use Misuse
TI - Evaluation of a Multistage Implementation of Medication for Opioid Use Disorder Services in Primary Care
U1 - Opioids & Substance Use; Education & Workforce
U3 - 10.1080/10826084.2025.2496931
VL - 60
VO - 1082-6084
Y1 - 2025
ER -