Evidence map›Paper›PMID 37036056›Full record

ArticleMedical care research and review : MCRR2023

Internal and Environmental Predictors of Physician Practice Use of Screening and Medications for Opioid Use Disorders.

Chris Miller-Rosales, Susan H Busch, Ellen R Meara, Ashleigh King, Thomas A D'Aunno, Carrie H Colla

Open access · greenAbstract read
In one paragraph

Article in Medical care research and review : MCRR, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
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 4 institutions in 1 country.

Chris Miller-RosalesHarvard Medical School, Boston, MA, USA.ORCID 0000-0003-4430-5968
Susan H BuschYale School of Public Health, New Haven, CT, USA.
Ellen R MearaHarvard T.H. Chan School of Public Health, Boston, MA, USA.
Ashleigh KingThe Dartmouth Institute for Health Policy & Clinical Practice, Lebanon, NH, USA.
Thomas A D'AunnoNew York University, New York City, USA.
Carrie H CollaThe Dartmouth Institute for Health Policy & Clinical Practice, Lebanon, NH, USA.
Dartmouth Institute for Health Policy and Clinical Practice · USHarvard University · USNew York University · USYale University · US

Funding

PA-20-072: Accelerating the Use of Evidence-based Innovation in Healthcare SystemsU19HS024075 · AHRQ · DARTMOUTH COLLEGE · PI MEARA, ELLEN R. · 2015 to 2021
$19.8M
Health Policy Training Program: Promoting Outcomes, Quality, Equity and Diffusion of AdvancesT32MH019733 · NIMH · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI Benjamin Le Cook, Haiden A Huskamp · 1993 to 2026
$7.0M
Stemming the Tide: The Role of Payment and Delivery System Reform in Combating the Opioid EpidemicR01DA049757 · NIDA · DARTMOUTH COLLEGE · PI LEWINSON, TERRI D, MEARA, ELLEN R. · 2020 to 2023
$2.6M
AHRQ HHS U19 HS024075NIDA NIH HHS R01 DA049757NIMH NIH HHS T32 MH019733
6 · The paper itself

Abstract

Medications for opioid use disorder (MOUD) remain highly inaccessible despite demonstrated effectiveness. We examine the extent of screening for opioid use and availability of MOUD in a national cross-section of multi-physician primary care and multispecialty practices. Drawing on an existing framework to characterize the internal and environmental context, we assess socio-technical, organizational-managerial, market-based, and state-regulation factors associated with the use of opioid screening and offering of MOUD in a practice. A total of 26.2% of practices offered MOUD, while 69.4% of practices screened for opioid use. Having advanced health information technology functionality was positively associated with both screening for opioid use and offering MOUD in a practice, while access to on-site behavioral clinicians was positively associated with offering MOUD in adjusted models. These results suggest that improving access to information and expertise may enable physician practices to respond more effectively to the nation's ongoing opioid epidemic.

Indexed as

BuprenorphineOpioid-Related DisordersPhysiciansAnalgesics, OpioidHumansOpiate Substitution TreatmentAnalgesics, OpioidBuprenorphinebuprenorphinediffusion of innovationsevidence-based practicesopioid treatment

Identifiers

PMID37036056
PMCPMC10949918
OpenAlexW4363646686

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.