ArticleAnnals of family medicine2019
Team-Based Clinic Redesign of Opioid Medication Management in Primary Care: Effect on Opioid Prescribing.
Article in Annals of family medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed.
- A Cluster-Randomized Clinical Trial to Decrease Prescription Opioid Misuse: Improving the Safety of Opioid Therapy (ISOT).Journal of general internal medicine · 2022Trial
- The Road from Science to Health: The Importance of Designing For, Measuring, and Communicating Impact in Public Health.Annual review of public health · 2026Review
- The landscape of research in quality in primary care: A bibliometric analysis of articles between 2000 and 2025.Journal of family medicine and primary care · 2026Article
- Article
- Virtual practice facilitation as an implementation strategy for launching opioid safety committees for quality improvement in primary care: feasibility, acceptability, and intervention fidelity.BMC primary care · 2024Article
- Article
- Supporting Practice Facilitators in a Learning Health Care System.The Permanente journal · 2023Article
- A Pharmacist-Assisted Initiative to Improve Chronic Pain Management and Reduce Opioid Use in Primary Care.Innovations in pharmacy · 2023Article
- A Comprehensive, Multimodal, Interdisciplinary Approach to Chronic Non-Cancer Pain Management in a Family Medicine Clinic: A Retrospective Cohort Review.The Permanente journal · 2021Article
- COVID-19-related adaptations to the implementation and evaluation of a clinic-based intervention designed to improve opioid safety.Drugs in context · 2021Review
- Service utilization and chronic condition outcomes among primary care patients with substance use disorders and co-occurring chronic conditions.Journal of substance abuse treatment · 2020Observational
- Barriers and facilitators to implementing changes in opioid prescribing in rural primary care clinics.Journal of clinical and translational science · 2020Article
- Study protocol for evaluating Six Building Blocks for opioid management implementation in primary care practices.Implementation science communications · 2020Article
- A Behind-the-Scenes Look at Practice Facilitation to Improve Delivery of Unhealthy Alcohol Use Screening and Management Services in Primary Care: A Qualitative Study.Journal of primary care & community healthArticle
- Staff and Clinician Work-Life Perceptions after Implementing Systems-Based Improvements to Opioid Management.Journal of the American Board of Family Medicine : JABFMArticle
- Challenges and Approaches to Population Management of Long-Term Opioid Therapy Patients.Journal of the American Board of Family Medicine : JABFMArticle
- Changes in healthcare utilization and costs following enrollment in an interprofessional primary care clinic designed to address clinical and social vulnerabilities.Journal of interprofessional careArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
purposeSix key elements of opioid medication management redesign in primary care have been previously identified. Here, we examine the effect of implementing these Six Building Blocks on opioid-prescribing practices.
methodsSix rural-serving organizations with 20 clinic locations received support for 15 months during the period October 2015 to May 2017 to implement the Six Building Blocks. Patients undergoing long-term opioid therapy (LtOT) at these study sites were compared with patients undergoing LtOT enrolled in a regional health plan who did not receive care at the study sites but who resided in the same primary care service areas (control group). Outcomes were monthly trend in the proportion of patients undergoing LtOT prescribed a ≥100 morphine equivalent dose (MED) of opioids daily and the total number of patients receiving an opioid prescription. An interrupted time series using difference-indifference analysis was used for tests of significance.
resultsThe proportion of patients prescribed a ≥100 MED of opioids daily decreased 2.2% (11.8% to 9.6%) among patients at the intervention clinics and 1.3% (14.0% to 12.7%) among patients in the control group. The rate of decrease was significantly greater among study patients than among patients in the control group (
conclusionsEfforts to redesign opioid medication management in primary care resulted in a significant decrease in opioid prescribing. Future research is needed to determine if these results are generalizable to other settings and to assess implications for patient-reported outcomes.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.