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. 2019 Sep;37(9):1787-1790.
doi: 10.1016/j.ajem.2019.02.025. Epub 2019 Feb 18.

Barriers and facilitators for emergency department initiation of buprenorphine: A physician survey

Affiliations

Barriers and facilitators for emergency department initiation of buprenorphine: A physician survey

Margaret Lowenstein et al. Am J Emerg Med. 2019 Sep.
No abstract available

Keywords: Buprenorphine; Emergency department; Health services research; Opioid use disorder.

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Conflict of interest statement

Disclosures:

ML, AK, JH, DAR, JP, ZFM report no conflicts of interest.

MKD received an honorarium for participating in an Expert Roundtable on opioid prescribing convened by United Health Group.

Figures

Figure 1:
Figure 1:. Level of preparation for treatment of OUD in the emergency department
Displayed are the percentage of physicians who rated that they were either “somewhat prepared” or “very prepared” to address each of the aspects of OUD care in the emergency department. The asterisk indicate those responses that significantly differed by X-waiver status. OUD: opioid use disorder; COWS: Clinical Opioid Withdrawal Scale.
Figure 2:
Figure 2:. Barriers and Facilitators to Prescribing Buprenorphine in the Emergency Department
Panel A shows survey results for physician-rated barriers on a scale from 1–10 (10 being the most significant barrier). Panel B shows physician-rated facilitators for prescribing of buprenorphine in the emergency department. The asterisks indicate those responses that significantly differed by X-waiver status (p < 0.05). OUD: opioid use disorder; EMR: electronic medical record.
Figure 3:
Figure 3:. Barriers and Facilitators to obtaining an X-waiver for emergency department physicians
Panel A shows survey results for physician-rated barriers to obtaining an X-waiver among those who had not completed a waiver training on a scale from 1–10 (10 being the most significant barrier). Panel B shows physician-rated facilitators for obtaining an X-wavier. OUD: opioid use disorder.

References

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