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Discordance in Addressing Opioid Crisis in Rural Communities: Patient and Provider Perspectives

Providing patient-centered care to manage chronic pain and opioid use disorder (OUD) is associated with improved health outcomes. However, adopting a holistic approach to providing care is often challenging in rural communities. This study aims to identify and contrast challenges to providing patien...

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Detalles Bibliográficos
Autores principales: Qudah, Bonyan, Maurer, Martha A., Mott, David A., Chui, Michelle A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9332779/
https://www.ncbi.nlm.nih.gov/pubmed/35893729
http://dx.doi.org/10.3390/pharmacy10040091
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author Qudah, Bonyan
Maurer, Martha A.
Mott, David A.
Chui, Michelle A.
author_facet Qudah, Bonyan
Maurer, Martha A.
Mott, David A.
Chui, Michelle A.
author_sort Qudah, Bonyan
collection PubMed
description Providing patient-centered care to manage chronic pain and opioid use disorder (OUD) is associated with improved health outcomes. However, adopting a holistic approach to providing care is often challenging in rural communities. This study aims to identify and contrast challenges to providing patient-centered care from the perspective of patients and providers. A participatory design approach was adopted to elicit the perceptions of providers and patients with lived experiences of chronic pain and/or OUD in Jefferson County, Wisconsin. Two focus groups were conducted with each stakeholder group to identify problems that participants face with respect to chronic pain management and OUD and possible solutions. Four interviews were conducted with providers experienced in chronic pain management. Analysis of focus group sessions and interviews show consensus among patients and providers that lack of behavioral health and recovery resources create barriers to effectively manage OUD and chronic pain. However, there was discordance among the two groups about other barriers such as patient and provider attitudes, tapering approach, and access to medications for OUD. This tension among patients and providers can influence patients’ retention in therapy. More efforts are needed to mitigate stigma among providers in rural communities and support psychosocial needs of patients.
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spelling pubmed-93327792022-07-29 Discordance in Addressing Opioid Crisis in Rural Communities: Patient and Provider Perspectives Qudah, Bonyan Maurer, Martha A. Mott, David A. Chui, Michelle A. Pharmacy (Basel) Article Providing patient-centered care to manage chronic pain and opioid use disorder (OUD) is associated with improved health outcomes. However, adopting a holistic approach to providing care is often challenging in rural communities. This study aims to identify and contrast challenges to providing patient-centered care from the perspective of patients and providers. A participatory design approach was adopted to elicit the perceptions of providers and patients with lived experiences of chronic pain and/or OUD in Jefferson County, Wisconsin. Two focus groups were conducted with each stakeholder group to identify problems that participants face with respect to chronic pain management and OUD and possible solutions. Four interviews were conducted with providers experienced in chronic pain management. Analysis of focus group sessions and interviews show consensus among patients and providers that lack of behavioral health and recovery resources create barriers to effectively manage OUD and chronic pain. However, there was discordance among the two groups about other barriers such as patient and provider attitudes, tapering approach, and access to medications for OUD. This tension among patients and providers can influence patients’ retention in therapy. More efforts are needed to mitigate stigma among providers in rural communities and support psychosocial needs of patients. MDPI 2022-07-27 /pmc/articles/PMC9332779/ /pubmed/35893729 http://dx.doi.org/10.3390/pharmacy10040091 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Qudah, Bonyan
Maurer, Martha A.
Mott, David A.
Chui, Michelle A.
Discordance in Addressing Opioid Crisis in Rural Communities: Patient and Provider Perspectives
title Discordance in Addressing Opioid Crisis in Rural Communities: Patient and Provider Perspectives
title_full Discordance in Addressing Opioid Crisis in Rural Communities: Patient and Provider Perspectives
title_fullStr Discordance in Addressing Opioid Crisis in Rural Communities: Patient and Provider Perspectives
title_full_unstemmed Discordance in Addressing Opioid Crisis in Rural Communities: Patient and Provider Perspectives
title_short Discordance in Addressing Opioid Crisis in Rural Communities: Patient and Provider Perspectives
title_sort discordance in addressing opioid crisis in rural communities: patient and provider perspectives
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9332779/
https://www.ncbi.nlm.nih.gov/pubmed/35893729
http://dx.doi.org/10.3390/pharmacy10040091
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