Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia
Department of Biostatistics, Virginia Commonwealth University, Richmond, Virginia.
Ann Fam Med. 2018 Sep;16(5):443-446. doi: 10.1370/afm.2261.
Buprenorphine can be used in primary care to treat opioid use disorder, but many family physicians feel unprepared to care for patients with opioid addiction. We sought to describe preparedness to provide and current provision of buprenorphine treatment by early career family physicians using data from the 2016 National Family Medicine Graduate Survey. Of 1,979 respondents, 10.0% reported preparedness to provide buprenorphine treatment, and 7.0% reported current buprenorphine provision. Residency preparation to provide buprenorphine treatment was most highly associated with current provision (odds ratio = 13.50; 95% CI, 7.59-24.03). Efforts to increase buprenorphine training may alleviate the workforce shortage to treat opioid use disorder.
丁丙诺啡可用于初级保健以治疗阿片类药物使用障碍，但许多家庭医生觉得自己没有准备好照顾阿片类药物成瘾患者。我们使用 2016 年全国家庭医学研究生调查的数据，旨在描述初出茅庐的家庭医生提供丁丙诺啡治疗的准备情况和当前的丁丙诺啡治疗情况。在 1979 名受访者中，10.0%的人表示有准备提供丁丙诺啡治疗，7.0%的人报告目前正在提供丁丙诺啡治疗。接受住院医师培训准备提供丁丙诺啡治疗与当前提供治疗的关系最密切（优势比=13.50；95%CI，7.59-24.03）。增加丁丙诺啡培训的努力可能会缓解治疗阿片类药物使用障碍的劳动力短缺问题。
