"Induction of Medication for Opioid Use Disorder in Primary Care"
Senior Instructor of Family Medicine Tristen Hall, MPH, is the corresponding author for JABFM's "Induction of Medication for Opioid Use Disorder in Primary Care." This research was conducted as part of HOMER.
From the article:
Background: Overdoses and deaths from synthetic opioids grew sharply in the past decade. Most people with opioid use disorder (OUD) do not receive recommended evidence-based treatment: nationally, 72% to 87% of people who need OUD treatment do not receive medication for opioid use disorder (MOUD). Little is known about practice teams’ experiences with home, office, and telehealth induction for MOUD, particularly in primary care.
Methods: We conducted semistructured interviews with primary care clinicians and staff from February through September 2023 to understand experiences providing MOUD via home, office, and telehealth induction. Interviews were part of a PCORI-funded trial, Home versus Office versus telehealth for Medication Enhanced Recovery (HOMER). We used template and editing coding styles to categorize text according to deductive codes derived from research questions and inductive codes derived from multiple readings of transcripts. We used immersion-crystallization to iteratively review coded text and identify interview themes.
Additional authors from the Department of Family Medicine include: Douglas Fernald, MA; Vivian Jiang, MD; Kristen Curcija, MPH; Donald Nease, MD; and Linda Zittleman, MPH/MSPH.
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