Request Assistance
FAQ

Assessing Waivered and Non-Waivered Physician Barriers to Treating Patients with SUD: Pilot

Explore a research article about physician barriers to treating patients with SUD in Kentucky.

ABSTRACT: “Introduction: Opioid and other substance use disorders (OUD/SUDs) have been and continue to be significant public health issues. The standard of care for OUD is the use of medication for opioid use disorder (MOUD) in conjunction with counseling or behavioral therapies, yet research has indicated that barriers exist for patients accessing MOUD as well as for physicians prescribing MOUD due to requirements associated with the DATA 2000 waiver.
Methods: A pilot cross-sectional survey was conducted among Kentucky physicians in order to reassess common barriers as well as to explore barriers that non-waivered providers face to becoming waivered. Barriers were compared by waiver status (waiver vs. non-waivered) as well as geographic location (rural vs. non-rural).
Results: Compared to waivered physicians, non-waivered physicians were significantly less likely to report positive personal beliefs related to the use of MOUD for OUD and reported significantly more barriers to treating OUD patients in the areas of physicians’ practice and culture, auditing, and institutional support and resources (p < .05). The majority (69%) of all physicians indicated they would benefit from a tool kit with evidence-based clinical guidelines.
Conclusions: The barriers and beliefs identified in this pilot study indicate the need for policy action at the federal level to reduce barriers and incentivize more physicians to obtain waivers to treat OUD. Further, the development of brief educational resources tailored to physicians to treat OUD patients including pregnant patients with OUD is recommended.”
View
File Type: www
Categories: MOUD, Treatment
Tags: research
Author: Baier L, Bunn T, Coburn K, Fletcher E, Johnson D, Kizewski AL, Thompson RA, White J

Welcome to the Rural SUD Info Center, a collection of best practices, tools, and research for rural communities as they work to build and strengthen a comprehensive approach to substance use disorder (SUD). These resources offer support to rural providers/partners, recovery specialists, rural community members, and more.

Centers
Quick Links

This website is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of awards totaling $10 million with 0% financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.

FAQs

How can I learn more about the resources and services that are specifically available in my local area?

We encourage all visitors to the Rural SUD Info website to also explore additional resources and services available through the Health Resources & Services Administration (HRSA),  Substance Abuse and Mental Health Services Administration (SAMHSA), or Rural Health Information Hub (RHIHub).

How often are the Rural SUD Info Center materials updated?

Materials are updated on a quarterly basis.

How can I contact the Rural SUD Info Center?

Visit the request assistance page. https://ruralsudinfo.org/request-assistance/

Is there an Urban SUD Resource Center?

There is not an equivalent Urban SUD Resource Center. However, all of the information and tools on this website are available to the public, regardless of location or grant status. 

What are the Rural Centers of Excellence?

The RCOEs were established in 2019 by the Rural Communities Opioid Response Program (RCORP), an initiative of the Health Resources and Services Administration (HRSA) that aims to reduce morbidity and mortality related to SUD in rural areas.

Myself, or someone I know, is in a crisis. What should I do?

Please call or text 988, or visit: https://www.samhsa.gov/find-support/in-crisis

What is the Rural SUD Info Center?

The Rural SUD Info Center is a collection of best practices, tools, and research for rural communities building and strengthening a comprehensive approach to substance use disorder (SUD). These resources offer support to rural providers/partners, recovery specialists, rural community members, and more.

What resources are available for providers and patients?

Resources available for providers and patients include the Clearinghouse Resource Page. We also encourage visitors to fill out a technical assistance (TA) request for implementation support.

Where can I find rural providers in my area?

We encourage our visitors to use resources found throughout the Rural SUD Info
Center, along with Health
Resources & Services Administration, Rural
Health Information Hub, and the three RCOEs
to locate rural providers in your area.

Where can I find previous versions of toolkits?

All old versions of toolkits and resources are archived and can be retrieved through a request via the request assistance form.

Who operates the Rural SUD Info Center?

The Rural SUD Info Center is operated by the three RCORP-Rural Centers of Excellence on Substance Use Disorders, which are funded by HRSA’s Federal Office of Rural Health Policy.

In Crisis? Call or Text 988