J Opioid Manag. 2024 Jul-Aug;20(4):B13. doi: 10.5055/bupe.24.rpj.1095.
Opioid overdose continues to be a major cause of morbidity and mortality. Buprenorphine is an important treatment for patients with opioid-use disorder (OUD) and initiation in the emergency department (ED) has been shown to improve outcomes for these patients.
PURPOSE/HYPOTHESIS: Our objective was to assess the impact of a three-pronged education package on the knowledge and attitudes of emergency physicians towards using buprenorphine for treatment of OUD. Procedures/data/observations: We developed a three-pronged educational package including back- ground rationale for OUD treatment with buprenorphine, an evidence-based ED buprenorphine induction pathway and electronic medical record tools. This package was deployed to providers in an urban academic ED. A voluntary confidential pre-post survey was administered. Using a 6-point Likert Scale, participants were asked about their understanding, experience, and confidence with prescribing.
CONCLUSIONS/APPLICATIONS: A one-hour, three-pronged educational package changed the attitudes of emergency physicians towards buprenorphine treatment and demonstrated an increase in willingness and confidence to prescribe it for patients with OUD. Our findings suggest that healthcare entities that wish to boost buprenorphine prescribing can impact willingness and confidence to prescribe with a short education package.
阿片类药物过量仍是发病率和死亡率的主要原因。丁丙诺啡是治疗阿片类药物使用障碍（OUD）患者的重要药物，在急诊科（ED）启动丁丙诺啡治疗已被证明可改善这些患者的预后。
目的/假设：我们的目的是评估三管齐下的教育方案对急诊医师使用丁丙诺啡治疗 OUD 的知识和态度的影响。
程序/数据/观察：我们制定了一个三管齐下的教育方案，包括丁丙诺啡治疗 OUD 的背景原理、基于证据的 ED 丁丙诺啡诱导途径和电子病历工具。该方案已部署到城市学术急诊科的医务人员。我们进行了一项自愿的、保密的、预-后问卷调查。参与者使用 6 分制 Likert 量表，被问及他们对丁丙诺啡治疗的理解、经验和信心。
结论/应用：一个小时的三管齐下的教育方案改变了急诊医师对丁丙诺啡治疗的态度，并显示出增加了为 OUD 患者开具丁丙诺啡的意愿和信心。我们的发现表明，希望增加丁丙诺啡处方量的医疗保健机构可以通过简短的教育方案来影响开具处方的意愿和信心。
