The Balance Between Serving the Community and the Reality of Treating Opioid Use Disorder in Rural Primary Care Practices
The Balance Between Serving the Community and the Reality of Treating Opioid Use Disorder in Rural Primary Care Practices
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DOI：
10.1353/hpu.2022.0019
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发表时间：
2022-02-01
影响因子：
1.4
通讯作者：
Zittleman, Linda
中科院分区：
文献类型：
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作者：
Holtrop, Jodi Summers;Mullen, Rebecca;Zittleman, Linda
药物辅助治疗(MAT)是对抗阿片类药物使用障碍(OUD)的循证解决方案；然而，MAT在农村地区基本上是不可用的。这项研究调查了临床医生和工作人员在农村初级保健实践中对OUD和MAT的认知，特别是丁丙诺啡治疗。在这项定性研究中，我们采访了来自42家诊所的工作人员，并使用扎根的解释学编辑方法分析了数据。出现了四个关键主题：1)已经制定了减少阿片类药物处方的政策和程序，2)治疗“这些类型”的患者有情感损失，3)缺乏帮助慢性疼痛和丁丙诺啡治疗的当地资源，4)有帮助当地患者和社区成员的强烈愿望，但对从事丁丙诺啡治疗犹豫不决。尽管几乎没有提供MAT，但许多实践都有兴趣了解更多，以帮助他们的社区。
Medication assisted treatment (MAT) is an evidence -based solution to combatting opioid use disorder (OUD); however, MAT is largely unavailable in rural areas. This study investigated clinician and staff perceptions related to OUD and MAT, in particular, buprenorphine treatment, in rural primary care practices. In this qualitative study, we interviewed staff members from 42 practices and analyzed the data using a grounded hermeneutic editing approach. Four key themes emerged: 1) policies and procedures to reduce opioid prescribing were already in place, 2) there was an emotional toll to treating "those types" of patients, 3) there is a lack of local resources for help with chronic pain and buprenorphine treatment, and 4) there is a strong desire to help local patients and community members but hesitancy to engage in buprenorphine treatment. Although there was almost no provision of MAT, many practices were interested in learning more to help their communities.