Prescribing Practices of Rural Physicians Waivered to Prescribe Buprenorphine

American Journal of Preventive Medicine
C Holly A AndrillaDavis G Patterson

Abstract

Opioid use disorder is a serious public health burden, especially throughout rural America. Although efforts have been made to increase the availability of buprenorphine (an office-based medication-assisted treatment), more than 60% of rural counties in the U.S. lack a physician with a Drug Enforcement Administration waiver to prescribe it. This study surveyed all rural physicians with a Drug Enforcement Administration waiver in 2016 to prescribe buprenorphine for opioid use disorder in the U.S. and asked about physician's demographics, prescribing practices, and barriers to prescribing buprenorphine for treatment of opioid use disorder. Although 89.4% of physicians reported having prescribed buprenorphine for opioid use disorder, only 56.2% were currently accepting new patients for treatment. Physicians with a 30-patient waiver were treating, on average, 8.8 patients, but 53% were not treating any patients. Those with a 100-patient waiver were treating, on average, 56.9 patients. Significant practice variations were found throughout the U.S. by Census Division; more physicians in the Pacific Census Division accepted their own patients for treatment with buprenorphine whereas more physicians in the New England Census Divisions ...Continue Reading

Citations

Oct 20, 2018·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·C Holly A AndrillaDavis G Patterson
Jun 21, 2018·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·C Holly A AndrillaEric H Larson
Oct 28, 2019·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·C Holly A AndrillaDavis G Patterson
Jul 12, 2019·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Hannah K KnudsenMichelle R Lofwall
Aug 20, 2020·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Julie G SalvadorAndrew L Sussman
Aug 20, 2020·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Sarah SweeneyEric Weintraub
Sep 5, 2018·Journal of Addictions Nursing·Dorothy James Moore
Jan 22, 2020·Substance Abuse Treatment, Prevention, and Policy·Tiffany Champagne-LangabeerJames R Langabeer
Dec 7, 2019·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Christopher M SheaSherri L Green
Feb 4, 2021·Psychiatric Services : a Journal of the American Psychiatric Association·Claire Snell-RoodCathleen Willging
Nov 5, 2020·Journal of General Internal Medicine·Katherine MackeyKim Peterson
Feb 2, 2021·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Solmaz AmiriOfer Amram
Nov 15, 2020·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Tracy A KleinDaniel Hartung
Mar 11, 2021·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Evan S ColeJulie G Salvador
Mar 19, 2021·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·C Holly A Andrilla, Davis G Patterson
Nov 7, 2020·Journal of Addiction Medicine·Justin C StricklandKelly E Dunn
Sep 26, 2020·Journal of the American Association of Nurse Practitioners·Brayden N KamegAnn M Mitchell
Mar 27, 2021·Journal of the American Association of Nurse Practitioners·Emily Carroll

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