TY - JOUR
AU - B. Lai
AU - N. L. Bormann
AU - S. Arndt
AU - J. Smith
AU - M. Paul
AU - C. Stoppel
AU - K. Tuen
AU - D. Cox
AU - S. Breitinger
AU - M. Williams
AU - T. S. Oesterle
A1 - 
AB - Substance use disorders (SUD) remain a significant source of morbidity and mortality in the United States, and access to treatment continues to be inadequate. Primary Care Clinicians (PCCs) are well-positioned to provide long-term SUD care for patients. However, multiple provider-level barriers exist. Collaborative Care Management (CoCM) has proven successful in supporting PCCs in treating psychiatric conditions, such as depression. Our group proposes an addiction-focused modified CoCM that leverages telemedicine and an electronic platform (Senyo) into primary care. This study assesses PCCs' attitudes toward this proposed model and their likelihood (with support) of prescribing medications for alcohol and opioid use disorder. To achieve this, an anonymized and confidential electronic survey was deployed to all 489 of our institutions' PCCs. Eighty-five completed the survey (17.4% response); the majority (94%) agreed that digital CoCM for SUD will be helpful for their practice, and 85% expressed agreement that such a model will increase their confidence and likelihood to prescribe anti-craving medications. Additionally, we found that PCCs' comfort level in addressing SUD with patients is not associated with years in practice, clinician type (attending physicians, resident/fellow physicians, nurse practitioner or physician assistant), or their perception of currently available SUD treatment resources. Future work to evaluate practice changes, including rates of anti-craving medication prescribing and SUD-treatment outcomes after implementation of our digital CoCM will prove useful in determining the effectiveness of this model.
AD - Department of Family Medicine, Mayo Clinic, Rochester, MN, USA.; Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.; Department of Psychiatry of Psychiatry, University of Iowa, Iowa City, IA, USA.; Department of Biostatistics, University of Iowa, Iowa City, IA, USA.; Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Rochester, MN, USA.
AN - 41954165
BT - Inquiry
C5 - Opioids & Substance Use; Healthcare Disparities; Education & Workforce
DA - Jan-Dec
DO - 10.1177/00469580261440482
DP - NLM
ET - 20260409
JF - Inquiry
LA - eng
N2 - Substance use disorders (SUD) remain a significant source of morbidity and mortality in the United States, and access to treatment continues to be inadequate. Primary Care Clinicians (PCCs) are well-positioned to provide long-term SUD care for patients. However, multiple provider-level barriers exist. Collaborative Care Management (CoCM) has proven successful in supporting PCCs in treating psychiatric conditions, such as depression. Our group proposes an addiction-focused modified CoCM that leverages telemedicine and an electronic platform (Senyo) into primary care. This study assesses PCCs' attitudes toward this proposed model and their likelihood (with support) of prescribing medications for alcohol and opioid use disorder. To achieve this, an anonymized and confidential electronic survey was deployed to all 489 of our institutions' PCCs. Eighty-five completed the survey (17.4% response); the majority (94%) agreed that digital CoCM for SUD will be helpful for their practice, and 85% expressed agreement that such a model will increase their confidence and likelihood to prescribe anti-craving medications. Additionally, we found that PCCs' comfort level in addressing SUD with patients is not associated with years in practice, clinician type (attending physicians, resident/fellow physicians, nurse practitioner or physician assistant), or their perception of currently available SUD treatment resources. Future work to evaluate practice changes, including rates of anti-craving medication prescribing and SUD-treatment outcomes after implementation of our digital CoCM will prove useful in determining the effectiveness of this model.
PY - 2026
SN - 0046-9580 (Print); 0046-9580
SP - 469580261440482
ST - Primary Care Clinicians' Attitudes on Digital Care Collaborative Management for Substance Use Disorders
T1 - Primary Care Clinicians' Attitudes on Digital Care Collaborative Management for Substance Use Disorders
T2 - Inquiry
TI - Primary Care Clinicians' Attitudes on Digital Care Collaborative Management for Substance Use Disorders
U1 - Opioids & Substance Use; Healthcare Disparities; Education & Workforce
U3 - 10.1177/00469580261440482
VL - 63
VO - 0046-9580 (Print); 0046-9580
Y1 - 2026
ER -