Atyia Seif, Bunn Terry, Quesinberry Dana, Prince Timothy
South Med J. 2025 Jan;118(1):1-8. doi: 10.14423/SMJ.0000000000001774.
The purpose of this study was to survey current physicians in Kentucky to evaluate their management of patients with substance use disorder (SUD), with a focus on the identification of their referral methods for linkage to SUD treatment and recovery support services.
A cross-sectional study was performed through a developed survey that was administered by e-mail to all 12,152 in-state physicians licensed in Kentucky; 524 responded. Addiction specialists, emergency physicians, and psychiatrists were categorized separately; family medicine and internal medicine (FM/IM) physicians were combined into one category; all of the other specialties were grouped into an "Other" category. The results were analyzed using descriptive statistics and cross-tabulations.
Of the 524 respondents, 271 (52%) said that they treated patients with SUD. Despite this, approximately 30% of them said that they do not screen for SUD. Across all specialties (except for addiction and psychiatry), many providers refer patients with SUD to treatment without prescribing any kind of treatment themselves. FM/IM physicians have a similar percentage to both addiction specialists and psychiatrists when analyzing the number of their patients who are willing to accept treatment; however, only approximately 30% of FM/IM physicians know about Kentucky's treatment and recovery placement Web site with near-real-time vacancies by geographic location with multiple filter options called FindHelpNowKY.org.
There are gaps in screening and linkage to care, especially in internal medicine and family medicine physicians. Work is necessary to increase screening, build provider capacity to treat, and increase knowledge of SUD treatment and recovery resources in Kentucky.
本研究旨在对肯塔基州目前的医生进行调查，以评估他们对物质使用障碍（SUD）患者的管理情况，重点是确定他们将患者转介至SUD治疗及康复支持服务的方法。
通过一项已制定的调查问卷进行横断面研究，该问卷通过电子邮件发送给肯塔基州所有12152名获得该州执照的在职医生；524人做出回应。成瘾专科医生、急诊医生和精神科医生被分别分类；家庭医学和内科（FM/IM）医生合并为一类；所有其他专科归为“其他”类别。结果采用描述性统计和交叉表分析。
在524名受访者中，271人（52%）表示他们治疗SUD患者。尽管如此，其中约30%的人表示他们不进行SUD筛查。在所有专科（成瘾和精神科除外）中，许多医疗服务提供者将SUD患者转介至治疗机构，而他们自己并不开任何治疗药物。在分析愿意接受治疗的患者数量时，FM/IM医生的比例与成瘾专科医生和精神科医生相似；然而，只有约30%的FM/IM医生知道肯塔基州的治疗和康复安置网站FindHelpNowKY.org，该网站可按地理位置提供近乎实时的空缺信息，并具有多种筛选选项。
在筛查和获得护理方面存在差距，尤其是在内科医生和家庭医生中。有必要开展工作，以增加筛查、提高医疗服务提供者的治疗能力，并增进对肯塔基州SUD治疗和康复资源的了解。
