Evidence map›Paper›PMID 33792414›Full record

ArticleMedical care research and review : MCRR2022

The Association Between Scope of Practice Regulations and Nurse Practitioner Prescribing of Buprenorphine After the 2016 Opioid Bill.

Thuy Nguyen, Ulrike Muench, Barbara Andraka-Christou, Kosali Simon, W David Bradford, Joanne Spetz

Open access · greenAbstract read
In one paragraph

Article in Medical care research and review : MCRR, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
5.3field-weighted citation impact, top 4% of its field
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 33 citations in OpenAlex.

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  10. Eliminate the buprenorphine DEA X waiver: Justification using a policy analysis approach.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2023
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  19. Demographic and socioeconomic correlates to buprenorphine access in pharmacies.Journal of the American Pharmacists Association : JAPhA
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 1 country.

Thuy NguyenUniversity of Michigan, Ann Arbor, MI, USA.ORCID 0000-0003-3790-6925
Ulrike MuenchUniversity of California, San Francisco, CA, USA.ORCID 0000-0003-0754-664X
Barbara Andraka-ChristouUniversity of Central Florida, Orlando, FL, USA.
Kosali SimonIndiana University, Bloomington, IN, USA.
W David BradfordUniversity of Georgia, Athens, GA, USA.
Joanne SpetzUniversity of California, San Francisco, CA, USA.ORCID 0000-0003-3112-5511
University of California, San Francisco · USNational Bureau of Economic Research · USUniversity of Central Florida · USUniversity of Georgia · USUniversity of Michigan · US

Funding

Doctor Shopping for Controlled Substances: Insights from Two-Mode Social Network AnalysisR01DA039928 · NIDA · TRUSTEES OF INDIANA UNIVERSITY · PI PERRY, BREA LOUISE · 2016 to 2019
$1.4M
Increasing access to medication-assisted treatment: Interactions between federal and state workforce policiesR01DA047379 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SPETZ, JOANNE E. · 2020 to 2022
$1.1M
NIDA NIH HHS R01 DA039928NIDA NIH HHS R01 DA047379
6 · The paper itself

Abstract

This article examines the relationship between federal regulations, state scope-of-practice regulations on nurse practitioners (NPs), and buprenorphine prescribing patterns using pharmacy claims data from Optum's deidentified Clinformatics Data Mart between January 2015 and September 2018. The county-level proportion of patients filling prescriptions written by NPs was low even after the 2016 Comprehensive Addiction and Recovery Act (CARA), 2.7% in states that did not require physician oversight of NPs, and 1.1% in states that did. While analyses in rural counties showed higher rates of buprenorphine prescriptions written by NPs, rates were still considerably low: 3.7% in states with less restrictive regulations and 1.1% in other states. These results indicate that less restrictive scope-of-practice regulations are associated with greater NP prescribing following CARA. The small magnitude of the changes indicates that federal attempts to expand treatment access through CARA have been limited.

Indexed as

BuprenorphineNurse PractitionersAnalgesics, OpioidHumansRural PopulationScope of PracticeUnited StatesAnalgesics, OpioidBuprenorphinebuprenorphine prescribingComprehensive Addiction and Recovery Actnurse practitionersscope-of-practice regulations

Identifiers

PMID33792414
PMCPMC8594929
OpenAlexW3146375657

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.