Acta Scientific Pharmaceutical Sciences (ASPS)(ISSN: 2581-5423)

Research Article Volume 4 Issue 12

Understanding the Barriers to Prescribing Buprenorphine in Massachusetts

Phuong Duong1*, Francis Melaragni2 and Carly Levy3

1Pharmacist, CVS Pharmacy, Boston, MA, USA
2Associate Professor, School of Pharmacy, MCPHS University, Boston, MA, USA
3Assistant Professor, School of Arts and Sciences, MCPHS University, Boston, MA, USA

*Corresponding Author: Phuong Duong, Pharmacist, CVS Pharmacy, Boston, MA, USA.

Received: October 21, 2020; Published: November 18, 2020

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Abstract

Background: The Centers for Disease Control and Prevention (CDC) and other U.S. government agencies have reported over 2 million Americans currently suffer from opioid use disorder.  Assisting those with opioid use disorder is a national problem that needs more attention and commitment. One approach that shows promise is the use of medication-assisted treatment (MAT) for those with opioid use disorder.

Objectives: This study focused on the barriers that limit the number of prescribers of buprenorphine in Massachusetts.   

Design and Participants: The researchers sent two questionnaires, made follow-up phone calls as appropriate, and sent emails to the 1300 providers in Massachusetts who were publicly available in the Substance Abuse and Mental Health Services Administration (SAMSHA) website and who have waivers to prescribe buprenorphine.

Measures and Results: Among the prescribers, payment and pharmacy issues were significant barriers faced by prescribers (OR 14.441; 95% CI 3.660 - 56.981). Among the non-prescribers, significant barriers were low demand (OR 0.305; 95% CI 0.096 - 0.965) and insufficient knowledge (OR 0.117; 95% CI 0.032 - 0.429). 

Conclusion: There have been many changes in the landscape of opioid epidemic in the past 13 years since the 2005 study of Walley., et al. However, many barriers still exist and need to be removed to improve the current opioid epidemic, and this includes the limited number of prescribers and thus limited access to the medication assisted treatment buprenorphine. 

Keywords: Buprenorphine; Massachusetts; Medication-assisted Treatment (MAT)

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References

  1. Centers for Disease Control and Prevention. National Center for Injury Prevention and Control. Opioid Overdose (2018).
  2. Alexander GC., et al. “The Prescription Opioid Epidemic: An Evidence-Based Approach”. John-Hopkins Bloomberg School of Public Health, Baltimore, Maryland (2015).
  3. Ayanga D., et al. “Update on pharmacotherapy for treatment of opioid use disorder”. Expert Opinion on Pharmacotherapy 17 (2016): 2307-2318.
  4. Schuckit MA. “Treatment of opioid-use disorders”. The New England Journal of Medicine 16 (2016): 1596-1597.
  5. Eilperin J. “To battle opioid addiction, the federal health department opens medication treatment to more patients. Washington Post (2016).
  6. Fiellin DA., et al. “Long term treatment with buprenorphine/naloxone in primary care: Results at 2-5 years”. The American Journal on Addictions 17 (2008): 116-120.
  7. Soeffing JM., et al. “Buprenorphine maintenance treatment in a primary care setting: Outcomes at 1 year”. Journal of Substance Abuse Treatment 37 (2009): 426-430.
  8. D’ Onofrio G., et al. “Emergency department-initiated buprenorphine/naloxone treatment for opioid dependence: A randomized clinical trial”. JAMA 313 (2015): 1636-1644.
  9. American Society of Addiction Medicine. What is an Addiction Specialist.
  10. Huhn AS and Dunn KE. “Why aren’t physicians prescribing more buprenorphine?”. Journal of Substance Abuse Treatment 78 (2017): 1-7.
  11. LaBelle CT., et al. “Office-based opioid treatment with buprenorphine (OBOT-B): statewide implementation of the Massachusetts collaborative care model in community health centers”. Journal of Substance Abuse Treatment 60 (2016): 6-13.
  12. Walley AY., et al. “Office-based management of opioid dependence with buprenorphine: clinical practices and barriers”. Journal of General Internal Medicine9 (2008): 1393-1398.
  13. Kissin W., et al. “Experiences of a national sample of qualified addiction specialists who have and have not prescribed buprenorphine for opioid dependence”. Journal of Addictive Diseases4 (2006): 91-103.
  14. Fiscella K and Wakeman SE. “Buprenorphine Deregulation and Mainstreaming Treatment for Opioid Use Disorder”. JAMA Psychiatry3 (2019): 229.
  15. AMA: Remove Barriers to Opioid-Use Disorder Treatment. American Medical Association.
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Citation

Citation: Phuong Duong., et al. “Understanding the Barriers to Prescribing Buprenorphine in Massachusetts". Acta Scientific Pharmaceutical Sciences 4.12 (2020): 22-29.




Metrics

Acceptance rate32%
Acceptance to publication20-30 days
Impact Factor1.020

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