Why aren't physicians prescribing more buprenorphine?
Andrew S. Huhn,Kelly E. Dunn +1 more
TLDR
Differences between non-waivered and waivered physicians concerning attitudes toward buprenorphine treatment as well as resources that would increase willingness to prescribe are discussed.About:
This article is published in Journal of Substance Abuse Treatment.The article was published on 2017-07-01 and is currently open access. It has received 218 citations till now. The article focuses on the topics: Buprenorphine & Opioid use disorder.read more
Citations
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BookDOI
Medications for Opioid Use Disorder Save Lives
Michelle Mancher,Alan I. Leshner +1 more
TL;DR: In this article, the evidence base on medication assisted treatment (MAT) for opioid use disorder (OUD) is examined and the available evidence on the range of parameters and circumstances in which MAT can be effectively delivered and identifies additional research needed.
Journal ArticleDOI
Stigma as a fundamental hindrance to the United States opioid overdose crisis response.
Alexander C. Tsai,Alexander C. Tsai,Mathew V. Kiang,Michael L. Barnett,Michael L. Barnett,Leo Beletsky,Leo Beletsky,Leo Beletsky,Katherine M. Keyes,Emma E. McGinty,Laramie R. Smith,Steffanie A. Strathdee,Sarah E. Wakeman,Atheendar S. Venkataramani,Atheendar S. Venkataramani +14 more
TL;DR: The role of stigma in responses to the US opioid crisis is discussed and the importance of awareness and education in response to stigma is discussed.
Journal ArticleDOI
Tackling the overdose crisis: The role of safe supply.
TL;DR: In view of the persistent gaps in services and the limitations of available options, immediate scale-up of low-barrier opioid distribution programs are urgently needed as mentioned in this paper, which includes "off-label" prescription of pharmaceutical grade opioids (e.g., hydromorphone) to disrupt the toxic drug supply and make safer opioids widely available to people at high risk of fatal overdose.
Journal ArticleDOI
Improving Access to Evidence-Based Medical Treatment for Opioid Use Disorder: Strategies to Address Key Barriers Within the Treatment System
TL;DR: Nine key barriers that prevent access to evidence-based care, including stigma; inadequate clinical training; a dearth of addiction specialists; lack of integration of MOUD provision in practice; regulatory, statutory, and data sharing restrictions; and financial barriers are included.
Where Is Buprenorphine Dispensed to Treat Opioid Use Disorders
Bradley D. Stein,Rosalie Liccardo Pacula,Adam J. Gordon,Rachel M. Burns,Douglas L. Leslie,Mark J. Sorbero,Sebastian Bauhoff,Todd Mandell,Andrew W. Dick +8 more
TL;DR: The changes after the 2006 legislation suggest that policies focused on increasing the number of patients that a single waivered physician could safely and effectively treat could be more effective in increasing buprenorphine use than would alternatives such as opening new substance abuse treatment facilities or raising the overall number of waivered physicians.
References
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A Prospective Study of the Risk of Tuberculosis among Intravenous Drug Users with Human Immunodeficiency Virus Infection
Peter A. Selwyn,Diana Hartel,Victor A. Lewis,Ellie E. Schoenbaum,Sten H. Vermund,Robert S. Klein,Angela T. Walker,Gerald Friedland +7 more
TL;DR: The data suggest that in HIV-infected persons tuberculosis most often results from the reactivation of latent tuberculous infection; these results lend support to recommendations for the aggressive use of chemoprophylaxis against tuberculosis in patients with HIV infection and a positive PPD test.
Vital Signs: Overdoses of Prescription Opioid Pain Relievers - United States, 1999-2008
TL;DR: Wide variation among states in the nonmedical use of OPR and overdose rates cannot be explained by underlying demographic differences in state populations but is related to wide variations in OPR prescribing.
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The Changing Face of Heroin Use in the United States: A Retrospective Analysis of the Past 50 Years
TL;DR: The demographic composition of heroin users entering treatment has shifted over the last 50 years such that heroin use has changed from an inner-city, minority-centered problem to one that has a more widespread geographical distribution, involving primarily white men and women in their late 20s living outside of large urban areas.
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Relationship between Nonmedical Prescription-Opioid Use and Heroin Use
TL;DR: A large fraction of heroin users now report that they formerly used prescription opioids nonmedically, a finding that has led to restrictions on opioid prescribing, but only a small fraction of prescription-opioid users move on to heroin use.
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Medication-Assisted Therapies — Tackling the Opioid-Overdose Epidemic
TL;DR: The Department of Health and Human Services is working to reduce opioid abuse while ensuring appropriate access to opioids, one key element of the solution is greater use of medication-assisted therapies for addiction.