Internal and Environmental Predictors of Physician Practice Use of Screening and Medications for Opioid Use Disorders

Medications for opioid use disorder (MOUD) remain highly inaccessible despite demonstrated effectiveness. We examine the extent of screening for opioid use and availability of MOUD in a national cross-section of multi-physician primary care and multispecialty practices. Drawing on an existing framew...

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Bibliographic Details
Published in:Medical care research and review 2023-08, Vol.80 (4), p.410-422
Main Authors: Miller-Rosales, Chris, Busch, Susan H., Meara, Ellen R., King, Ashleigh, D’Aunno, Thomas A., Colla, Carrie H.
Format: Article
Language:English
Subjects:
Access to information
Analgesics, Opioid - therapeutic use
Buprenorphine
Drug abuse
Epidemics
Health care
Health information
Humans
Information technology
Medical screening
Medical technology
Narcotics
Opiate Substitution Treatment
Opioid-Related Disorders - drug therapy
Opioids
Organizational aspects
Physicians
Primary care
Substance use disorder
Technology utilization
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Description
Summary:Medications for opioid use disorder (MOUD) remain highly inaccessible despite demonstrated effectiveness. We examine the extent of screening for opioid use and availability of MOUD in a national cross-section of multi-physician primary care and multispecialty practices. Drawing on an existing framework to characterize the internal and environmental context, we assess socio-technical, organizational-managerial, market-based, and state-regulation factors associated with the use of opioid screening and offering of MOUD in a practice. A total of 26.2% of practices offered MOUD, while 69.4% of practices screened for opioid use. Having advanced health information technology functionality was positively associated with both screening for opioid use and offering MOUD in a practice, while access to on-site behavioral clinicians was positively associated with offering MOUD in adjusted models. These results suggest that improving access to information and expertise may enable physician practices to respond more effectively to the nation’s ongoing opioid epidemic.
ISSN:1077-5587
1552-6801
1552-6801
DOI:10.1177/10775587231162681