Research ArticleOriginal Research

Clinician Perceptions About a Decision Support System to Identify and Manage Opioid Use Disorder

Leif I. Solberg, Stephanie A. Hooker, Rebecca C. Rossom, Anna Bergdall and Benjamin F. Crabtree
The Journal of the American Board of Family Medicine November 2021, 34 (6) 1096-1102; DOI: https://doi.org/10.3122/jabfm.2021.06.210126

References

  1. 1.↵
    1. Hedegaard H,
    2. Warner M,
    3. Minino AM
    . Drug overdose deaths in the United States, 1999-2016. NCHS Data Brief 2017;2017:1–8.
    OpenUrlPubMed
  2. 2.↵
    SAMHSA. Key substance use and mental health indicators in the United States: Results from the 2018 National Survey on Drug Use and Health. Rockville, MD, 2019.
  3. 3.↵
    1. Creedon TB,
    2. Cook BL
    . Access to mental health care increased but not for substance use, while disparities remain. Health Aff (Millwood) 2016;35:1017–21.
    OpenUrlAbstract/FREE Full Text
  4. 4.↵
    1. Chen JH,
    2. Humphreys K,
    3. Shah NH,
    4. Lembke A
    . Distribution of opioids by different types of Medicare prescribers. JAMA Intern Med 2016;176:259–61.
    OpenUrl
  5. 5.↵
    1. Dobscha SK,
    2. Morasco BJ,
    3. Duckart JP,
    4. Macey T,
    5. Deyo RA
    . Correlates of prescription opioid initiation and long-term opioid use in veterans with persistent pain. Clin J Pain 2013;29:102–8.
    OpenUrlCrossRefPubMedWeb of Science
  6. 6.↵
    1. Barry DT,
    2. Irwin KS,
    3. Jones ES,
    4. et al
    . Integrating buprenorphine treatment into office-based practice: a qualitative study. J Gen Intern Med 2009;24:218–25.
    OpenUrlCrossRefPubMedWeb of Science
  7. 7.↵
    1. Hutchinson E,
    2. Catlin M,
    3. Andrilla CH,
    4. Baldwin LM,
    5. Rosenblatt RA
    . Barriers to primary care physicians prescribing buprenorphine. Ann Fam Med 2014;12:128–33.
    OpenUrlAbstract/FREE Full Text
  8. 8.↵
    1. Netherland J,
    2. Botsko M,
    3. Egan JE
    , BHIVES Collaborative, et al. Factors affecting willingness to provide buprenorphine treatment. J Subst Abuse Treat 2009;36:244–51.
    OpenUrlCrossRefPubMedWeb of Science
  9. 9.↵
    1. Walley AY,
    2. Alperen JK,
    3. Cheng DM,
    4. et al
    . Office-based management of opioid dependence with buprenorphine: clinical practices and barriers. J Gen Intern Med 2008;23:1393–8.
    OpenUrlCrossRefPubMedWeb of Science
  10. 10.↵
    1. Huhn AS,
    2. Dunn KE
    . Why aren't physicians prescribing more buprenorphine? J Subst Abuse Treat 2017;78:1–7.
    OpenUrlPubMed
  11. 11.↵
    1. Kharbanda EO,
    2. Asche SE,
    3. Sinaiko A,
    4. et al
    . Evaluation of an electronic clinical decision support tool for incident elevated BP in adolescents. Acad Pediatr 2018;18:43–50.
    OpenUrl
  12. 12.↵
    1. O'Connor PJ,
    2. Sperl-Hillen JM
    . Current status and future directions for electronic point-of-care clinical decision support to improve diabetes management in primary care. Diabetes Technol Ther 2019;21:S226–S234.
    OpenUrlCrossRefPubMed
  13. 13.↵
    1. Sperl-Hillen JM,
    2. Crain AL,
    3. Margolis KL,
    4. et al
    . Clinical decision support directed to primary care patients and providers reduces cardiovascular risk: a randomized trial. J Am Med Inform Assoc 2018;25:1137–46.
    OpenUrl
  14. 14.↵
    1. Spithoff S,
    2. Mathieson S,
    3. Sullivan F,
    4. et al
    . Clinical decision support systems for opioid prescribing for chronic non-cancer pain in primary care: a scoping review. J Am Board Fam Med 2020;33:529–40.
    OpenUrlAbstract/FREE Full Text
  15. 15.↵
    1. Holland WC,
    2. Nath B,
    3. Li F,
    4. et al
    . Interrupted time series of user-centered clinical decision support implementation for emergency department-initiated buprenorphine for opioid use disorder. Acad Emerg Med 2020;27:753–63.
    OpenUrl
  16. 16.↵
    1. Melnick ER,
    2. Jeffery MM,
    3. Dziura JD,
    4. et al
    . User-centred clinical decision support to implement emergency department-initiated buprenorphine for opioid use disorder: protocol for the pragmatic group randomised EMBED trial. BMJ Open 2019;9:e028488.
    OpenUrlAbstract/FREE Full Text
  17. 17.↵
    1. Melnick ER,
    2. Nath B,
    3. Ahmed OM,
    4. et al
    . Progress report on EMBED: a pragmatic trial of user-centered clinical decision support to implement EMergency Department-Initiated BuprenorphinE for opioid use disorder. J Psychiatr Brain Sci 2020;5.
  18. 18.↵
    1. Price-Haywood EG,
    2. Robinson W,
    3. Harden-Barrios J,
    4. Burton J,
    5. Burstain T
    . Intelligent clinical decision support to improve safe opioid management of chronic noncancer pain in primary care. Ochsner J 2018;18:30–5.
    OpenUrlAbstract/FREE Full Text
  19. 19.↵
    1. Bart GB,
    2. Saxon A,
    3. Fiellin DA,
    4. et al
    . Developing a clinical decision support for opioid use disorders: a NIDA center for the clinical trials network working group report. Addict Sci Clin Pract 2020;15:4.
    OpenUrl
  20. 20.↵
    1. Rossom RC,
    2. Sperl-Hillen JM,
    3. O'Connor PJ,
    4. et al
    . Functionality and clinician acceptance of a clinical decision support tool to improve primary care of opioid use disorder. In preparation.
  21. 21.↵
    1. Saunders B,
    2. Sim J,
    3. Kingstone T,
    4. et al
    . Saturation in qualitative research: exploring its conceptualization and operationalization. Qual Quant 2018;52:1893–907.
    OpenUrlCrossRefPubMed
  22. 22.↵
    1. Krist AH,
    2. Davidson KW,
    3. Mangione CM
    , USPSTF, et al. Screening for unhealthy drug use: US Preventive Services Task Force recommendation statement. JAMA 2020;323:2301–9.
    OpenUrlCrossRefPubMed
  23. 23.↵
    1. Kottke TE,
    2. Brekke ML,
    3. Solberg LI
    . Making “time” for preventive services. Mayo Clin Proc 1993;68:785–91.
    OpenUrlCrossRefPubMedWeb of Science
  24. 24.↵
    1. Yarnall KS,
    2. Pollak KI,
    3. Ostbye T,
    4. Krause KM,
    5. Michener JL
    . Primary care: is there enough time for prevention? Am J Public Health 2003;93:635–41.
    OpenUrlCrossRefPubMedWeb of Science
  25. 25.↵
    1. Jaen CR,
    2. Stange KC,
    3. Nutting PA
    . Competing demands of primary care: a model for the delivery of clinical preventive services. J Fam Pract 1994;38:166–71.
    OpenUrlPubMedWeb of Science
  26. 26.↵
    1. McNeely J,
    2. Kumar PC,
    3. Rieckmann T,
    4. et al
    . Barriers and facilitators affecting the implementation of substance use screening in primary care clinics: a qualitative study of patients, providers, and staff. Addict Sci Clin Pract 2018;13:8.
    OpenUrlPubMed
  27. 27.↵
    1. Brooks EM,
    2. Tong S
    . Implementing office-based opioid treatment models in primary care. J Am Board Fam Med 2020;33:512–20.
    OpenUrlAbstract/FREE Full Text
  28. 28.↵
    1. Solberg LI
    . Theory vs practice: should primary care practice take on social determinants of health now? No. Ann Fam Med 2016;14:102–3.
    OpenUrlFREE Full Text
  29. 29.↵
    1. Bordley WC,
    2. Margolis PA,
    3. Stuart J,
    4. Lannon C,
    5. Keyes L
    . Improving preventive service delivery through office systems. Pediatrics 2001;108:E41.
    OpenUrlCrossRefPubMed
  30. 30.↵
    1. Goodwin MA,
    2. Zyzanski SJ,
    3. Zronek S,
    4. et al
    . A clinical trial of tailored office systems for preventive service delivery. The Study to Enhance Prevention by Understanding Practice (STEP-UP). Am J Prev Med 2001;21:20–8.
    OpenUrlCrossRefPubMedWeb of Science
  31. 31.↵
    1. Levengood TW,
    2. Peng Y,
    3. Xiong KZ
    , Community Preventive Services Task Force, et al. Team-based care to improve diabetes management: a community guide meta-analysis. Am J Prev Med 2019;57:e17–e26.
    OpenUrlPubMed
  32. 32.↵
    1. Jaen CR,
    2. McIlvain H,
    3. Pol L,
    4. Phillips RL Jr..,
    5. Flocke S,
    6. Crabtree BF
    . Tailoring tobacco counseling to the competing demands in the clinical encounter. J Fam Pract 2001;50:859–63.
    OpenUrlPubMedWeb of Science
  33. 33.↵
    1. Ike B,
    2. Baldwin LM,
    3. Sutton S,
    4. Van Borkulo N,
    5. Packer C,
    6. Parchman ML
    . Staff and clinician work-life perceptions after implementing systems-based improvements to opioid management. J Am Board Fam Med 2019;32:715–23.
    OpenUrlAbstract/FREE Full Text
  34. 34.↵
    1. Saunders EC,
    2. Moore SK,
    3. Gardner T,
    4. et al
    . Screening for substance use in rural primary care: a qualitative study of providers and patients. J Gen Intern Med 2019;34:2824–32.
    OpenUrl
Back to top

In this issue

Print
Download PDF
Article Alerts
Email Article
Citation Tools

Jump to section

Keywords