Home > Integrating opioid use disorder treatment into primary care settings.

Austin, Elizabeth J and Chen, Jessica and Briggs, Elsa S and Ferro, Lori and Barry, Paul and Heald, Ashley and Merrill, Joseph O and Curran, Geoffrey M and Saxon, Andrew J and Fortney, John C and Ratzliff, Anna D and Williams, Emily C (2023) Integrating opioid use disorder treatment into primary care settings. JAMA Network Open, 6, (8), e2328627. doi: 10.1001/jamanetworkopen.2023.28627.

External website: https://jamanetwork.com/journals/jamanetworkopen/f...

Importance: Medication for opioid use disorder (MOUD) (eg, buprenorphine and naltrexone) can be offered in primary care, but barriers to implementation exist.

Question: What are multidisciplinary primary care team perspectives on barriers and facilitators to expanding access to medications for opioid use disorder (MOUD)?

Findings: In this survey-based and qualitative study, 4 themes encapsulated multilevel barriers and facilitators associated with primary care team provision of MOUD during implementation: (1) structural barriers delayed or limited primary care team responsiveness to patients needing opioid-related care; (2) patient engagement was more challenging than expected; (3) prescribing clinicians needed ongoing training and tools; and (4) primary care teams had conflicting attitudes about expanding MOUD care.

Meaning: The results of this qualitative study suggest that further support is needed to address the structural barriers to MOUD provision in primary care settings.

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