Medication for Opioid Use Disorder: A National Survey of Primary Care Physicians

Abstract

Letters21 July 2020Medication for Opioid Use Disorder: A National Survey of Primary Care PhysiciansEmma E. McGinty, PhD, MS, Elizabeth M. Stone, MS, Alene Kennedy-Hendricks, PhD, Marcus A. Bachhuber, MD, and Colleen L. Barry, PhD, MPPEmma E. McGinty, PhD, MSJohns Hopkins Bloomberg School of Public Health and Johns Hopkins Center for Mental Health and Addiction Policy Research, Baltimore, Maryland (E.E.M., E.M.S., A.K., C.L.B.), Elizabeth M. Stone, MSJohns Hopkins Bloomberg School of Public Health and Johns Hopkins Center for Mental Health and Addiction Policy Research, Baltimore, Maryland (E.E.M., E.M.S., A.K., C.L.B.), Alene Kennedy-Hendricks, PhDJohns Hopkins Bloomberg School of Public Health and Johns Hopkins Center for Mental Health and Addiction Policy Research, Baltimore, Maryland (E.E.M., E.M.S., A.K., C.L.B.), Marcus A. Bachhuber, MDSection of Community and Population Medicine, Louisiana State University Health Sciences Center-New Orleans, New Orleans, Louisiana (M.A.B.), and Colleen L. Barry, PhD, MPPJohns Hopkins Bloomberg School of Public Health and Johns Hopkins Center for Mental Health and Addiction Policy Research, Baltimore, Maryland (E.E.M., E.M.S., A.K., C.L.B.)Author, Article, and Disclosure Informationhttps://doi.org/10.7326/M19-3975 SectionsSupplemental MaterialAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Background: More than 65% of persons with opioid use disorder (OUD) in the United States do not receive any treatment, including recommended treatment with 1 of the following U.S. Food and Drug Administration–approved medications: buprenorphine; methadone; or injectable, extended-release naltrexone (1). Efforts to expand treatment with medication have included a strong focus on primary care physicians who can prescribe injectable, extended-release naltrexone and, after obtaining a waiver from the Drug Enforcement Administration, buprenorphine for OUD in the office setting (1). (Methadone for OUD can be dispensed only in specialty programs [1].)Objective: To conduct a national survey examining primary care ...References1. National Academies of Sciences, Engineering, and Medicine. Medications for Opioid Use Disorder Save Lives. National Academies Pr; 2019. Google Scholar2. Petterson S, McNellis R, Klink K, et al. The State of Primary Care in the United States. A Chartbook of Facts and Statistics. Robert Graham Center; 2018. Google Scholar3. Samet JH, Botticelli M, Bharel M. Methadone in primary care—one small step for Congress, one giant leap for addiction treatment. N Engl J Med. 2018;379:7-8. [PMID: 29972744] doi:10.1056/NEJMp1803982 CrossrefMedlineGoogle Scholar4. Fiscella K, Wakeman SE, Beletsky L. Buprenorphine deregulation and mainstreaming treatment for opioid use disorder: X the X waiver. JAMA Psychiatry. 2019;76:229-30. [PMID: 30586140] doi:10.1001/jamapsychiatry.2018.3685 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Johns Hopkins Bloomberg School of Public Health and Johns Hopkins Center for Mental Health and Addiction Policy Research, Baltimore, Maryland (E.E.M., E.M.S., A.K., C.L.B.)Section of Community and Population Medicine, Louisiana State University Health Sciences Center-New Orleans, New Orleans, Louisiana (M.A.B.)Financial Support: By a Johns Hopkins University Frontier Award to Dr. McGinty.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M19-3975.Reproducible Research Statement: Study protocol and data set: Not available. Statistical code: Available from Dr. McGinty (e-mail, [email protected]edu).This article was published at Annals.org on 21 April 2020. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byA patient-centered nurse-supported primary care-based collaborative care program to treat opioid use disorder and depression: Design and protocol for the MI-CARE randomized controlled trialProject ECHO and primary care buprenorphine treatment for opioid use disorder: Implementation and clinical outcomesMultidisciplinary treatment of opioid use disorder in primary care using the collaborative care modelHealth professionals' attitudes toward medications for opioid use disorderOpioid harm reduction: A scoping review of physician and system-level gaps in knowledge, education, and practiceState Policies and Buprenorphine Prescribing by Nurse Practitioners and Physician AssistantsDoes a Survivorship Model of Opioid Use Disorder Improve Public Stigma or Policy Support? 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