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Hospital-based clinicians lack knowledge and comfort in initiating medications for opioid use disorder: opportunities for training innovation
BACKGROUND: Hospital-based clinicians infrequently initiate medications for opioid use disorder (MOUD) for hospitalized patients. Our objective was to understand hospital-based clinicians’ knowledge, comfort, attitudes, and motivations regarding MOUD initiation to target quality improvement initiati...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10193697/ https://www.ncbi.nlm.nih.gov/pubmed/37198707 http://dx.doi.org/10.1186/s13722-023-00386-x |
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author | Jakubowski, Andrea Singh-Tan, Sumeet Torres-Lockhart, Kristine Nahvi, Shadi Stein, Melissa Fox, Aaron D. Lu, Tiffany |
author_facet | Jakubowski, Andrea Singh-Tan, Sumeet Torres-Lockhart, Kristine Nahvi, Shadi Stein, Melissa Fox, Aaron D. Lu, Tiffany |
author_sort | Jakubowski, Andrea |
collection | PubMed |
description | BACKGROUND: Hospital-based clinicians infrequently initiate medications for opioid use disorder (MOUD) for hospitalized patients. Our objective was to understand hospital-based clinicians’ knowledge, comfort, attitudes, and motivations regarding MOUD initiation to target quality improvement initiatives. METHODS: General medicine attending physicians and physician assistants at an academic medical center completed questionnaires eliciting barriers to MOUD initiation, including knowledge, comfort, attitudes and motivations regarding MOUD. We explored whether clinicians who had initiated MOUD in the prior 12 months differed in knowledge, comfort, attitudes, and motivations from those who had not. RESULTS: One-hundred forty-three clinicians completed the survey with 55% reporting having initiated MOUD for a hospitalized patient during the prior 12 months. Common barriers to MOUD initiation were: (1) Not enough experience (86%); (2) Not enough training (82%); (3) Need for more addiction specialist support (76%). Overall, knowledge of and comfort with MOUD was low, but motivation to address OUD was high. Compared to MOUD non-initiators, a greater proportion of MOUD initiators answered knowledge questions correctly, agreed or strongly agreed that they wanted to treat OUD (86% vs. 68%, p = 0.009), and agreed or strongly agreed that treatment of OUD with medication was more effective than without medication (90% vs. 75%, p = 0.022). CONCLUSIONS: Hospital-based clinicians had favorable attitudes toward MOUD and are motivated to initiate MOUD, but they lacked knowledge of and comfort with MOUD initiation. To increase MOUD initiation for hospitalized patients, clinicians will need additional training and specialist support. |
format | Online Article Text |
id | pubmed-10193697 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-101936972023-05-19 Hospital-based clinicians lack knowledge and comfort in initiating medications for opioid use disorder: opportunities for training innovation Jakubowski, Andrea Singh-Tan, Sumeet Torres-Lockhart, Kristine Nahvi, Shadi Stein, Melissa Fox, Aaron D. Lu, Tiffany Addict Sci Clin Pract Research BACKGROUND: Hospital-based clinicians infrequently initiate medications for opioid use disorder (MOUD) for hospitalized patients. Our objective was to understand hospital-based clinicians’ knowledge, comfort, attitudes, and motivations regarding MOUD initiation to target quality improvement initiatives. METHODS: General medicine attending physicians and physician assistants at an academic medical center completed questionnaires eliciting barriers to MOUD initiation, including knowledge, comfort, attitudes and motivations regarding MOUD. We explored whether clinicians who had initiated MOUD in the prior 12 months differed in knowledge, comfort, attitudes, and motivations from those who had not. RESULTS: One-hundred forty-three clinicians completed the survey with 55% reporting having initiated MOUD for a hospitalized patient during the prior 12 months. Common barriers to MOUD initiation were: (1) Not enough experience (86%); (2) Not enough training (82%); (3) Need for more addiction specialist support (76%). Overall, knowledge of and comfort with MOUD was low, but motivation to address OUD was high. Compared to MOUD non-initiators, a greater proportion of MOUD initiators answered knowledge questions correctly, agreed or strongly agreed that they wanted to treat OUD (86% vs. 68%, p = 0.009), and agreed or strongly agreed that treatment of OUD with medication was more effective than without medication (90% vs. 75%, p = 0.022). CONCLUSIONS: Hospital-based clinicians had favorable attitudes toward MOUD and are motivated to initiate MOUD, but they lacked knowledge of and comfort with MOUD initiation. To increase MOUD initiation for hospitalized patients, clinicians will need additional training and specialist support. BioMed Central 2023-05-18 2023 /pmc/articles/PMC10193697/ /pubmed/37198707 http://dx.doi.org/10.1186/s13722-023-00386-x Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Jakubowski, Andrea Singh-Tan, Sumeet Torres-Lockhart, Kristine Nahvi, Shadi Stein, Melissa Fox, Aaron D. Lu, Tiffany Hospital-based clinicians lack knowledge and comfort in initiating medications for opioid use disorder: opportunities for training innovation |
title | Hospital-based clinicians lack knowledge and comfort in initiating medications for opioid use disorder: opportunities for training innovation |
title_full | Hospital-based clinicians lack knowledge and comfort in initiating medications for opioid use disorder: opportunities for training innovation |
title_fullStr | Hospital-based clinicians lack knowledge and comfort in initiating medications for opioid use disorder: opportunities for training innovation |
title_full_unstemmed | Hospital-based clinicians lack knowledge and comfort in initiating medications for opioid use disorder: opportunities for training innovation |
title_short | Hospital-based clinicians lack knowledge and comfort in initiating medications for opioid use disorder: opportunities for training innovation |
title_sort | hospital-based clinicians lack knowledge and comfort in initiating medications for opioid use disorder: opportunities for training innovation |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10193697/ https://www.ncbi.nlm.nih.gov/pubmed/37198707 http://dx.doi.org/10.1186/s13722-023-00386-x |
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