ArticleAnnals of family medicine2019
Family Physician Perceptions of Their Role in Managing the Opioid Crisis.
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 16 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- General practitioners' attitudes towards opioids for non-cancer pain: a qualitative systematic review.BMJ open · 2022Pooled it
- The constant conflicts of opioid prescribing - GPs' views on treating chronic pain with opioids in primary care: a reflexive qualitative analysis.Scandinavian journal of primary health care · 2026Article
- Introduction to Qualitative Methods: A Practical Primer for Clinicians.Family medicine · 2026Article
- Challenges in pain management and opioid prescribing practices following traumatic injury: a focus group study with orthopedic surgeons and general practitioners.Scandinavian journal of primary health care · 2025Article
- Primary care physicians' preferences for implementation strategies of deprescribing among patients with multimorbidity and polypharmacy in China: a qualitative study.BMC primary care · 2025Article
- Assessing medical students' beliefs about the opioid crisis and their post-graduation plans: a cross-sectional study.BMC medical education · 2025Article
- Article
- Bridging the Gap: Promoting Interventional Pain Medicine as a Future for Family Physicians.Cureus · 2024Review
- Experiences and Outcomes of Using e-Prescribing for Opioids: Rapid Scoping Review.Journal of medical Internet research · 2023Article
- A cross-sectional survey exploring clinician perceptions of a novel Medicaid back pain policy.Journal of complementary & integrative medicine · 2023Article
- A Scoping Review of Gaps Identified by Primary Care Providers in Caring for Patients with Chronic Noncancer Pain.Canadian journal of pain = Revue canadienne de la douleur · 2023Article
- Finding Primary Care-Repurposing Physician Registration Data to Generate a Regionally Accurate List of Primary Care Clinics: Development and Validation of an Open-Source Algorithm.JMIR formative research · 2022Article
- Barriers and facilitators encountered by family physicians prescribing opioids for chronic non-cancer pain: a qualitative study.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2021Article
- Quality improvement initiative for pain management practices in primary care.Proceedings (Baylor University. Medical Center) · 2020Article
- Changing or validating physician opioid prescribing behaviors through audit and feedback and academic detailing interventions in primary care.Implementation research and practiceArticle
- Academic detailing to improve appropriate opioid prescribing: a mixed-methods process evaluation.CMAJ openArticle
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
purposeWe examined the perspectives of family physicians (FPs) on opioid prescribing and management of chronic pain to better understand the barriers to safer prescribing in primary care and differences in perspectives that may be potential drivers of practice variation.
methodsWe used an exploratory qualitative study design. Semistructured interviews were conducted in June and July 2017 with 22 FPs in Ontario and coded inductively. Thematic analysis was used to identify themes, and a framework analysis explored the influence of physician demographics on prescribing experience.
resultsThree key themes emerged: the discrepancy between FPs' training and current practice, the tension between the FP's role and patient and system expectations, and the influence of length of time in practice and strength of therapeutic relationships on perspectives on opioid prescribing. There was an overarching sentiment among participants that FPs are unsupported in their efforts to manage chronic pain. More years in practice (≥15 years) seems to influence practice patterns by increasing trust in therapeutic relationships and decreasing reliance on emergent guidelines (vs clinical experience).
conclusionNumber of years in practice influences FPs' response to emergent evidence, requiring initiatives to include strategies tailored to individual beliefs. Initiatives must move beyond dissemination and education to equip FPs with the skills they need to navigate emotionally charged conversations. External pressures and misaligned system and patient expectations place FPs at the center of a challenging situation, which may result in a higher risk of burnout compared with that of their specialist colleagues.
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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.