Evidence map›Paper›PMID 38626996›Full record

ArticleCanadian family physician Medecin de famille canadien2024

Barriers and facilitators for family physicians prescribing opioid agonist therapy in Saskatchewan.

Teresa Nguyen, Julia Bareham, Katelyn Halpape

Open access · diamondAbstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

4 citing papers in PubMed, 3 citations in OpenAlex.

  1. What opioid use disorder reveals about generalism, continuity, and care.Canadian family physician Medecin de famille canadien · 2026
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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

3 authors at 2 institutions in 2 countries.

Teresa NguyenPharmacist with Loblaw Pharmacy in Saskatoon, Sask.
Julia BarehamPharmacist with the RxFiles Academic Detailing Program at the University of Saskatchewan in Saskatoon.
Katelyn HalpapeAssociate Professor in the College of Pharmacy and Nutrition at the University of Saskatchewan.
University of Saskatchewan · CAAmerican Pharmacists Association · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore barriers and facilitators for family physicians in Saskatchewan prescribing opioid agonist therapy (OAT).

designSelf-administered postal survey.

settingFamily medicine practices in Saskatchewan.

participantsA total of 218 Saskatchewan family physicians who were not authorized to prescribe OAT as of June 2022.

main outcome measuresDescriptive and inferential statistics of physicians' self-reported barriers to and facilitators of prescribing OAT for opioid use disorder (OUD).

resultsMost respondents (84.8%) had some comfort with diagnosing OUD. However, more than half (58.3%) did not feel confident or knowledgeable about prescribing OAT. Barriers to OAT prescribing included lack of time, incomplete training requirements, lack of interest, insufficient funding or support, feeling overwhelmed, and perceiving that OAT does not work and thus is not necessary. Physicians working in core neighbourhoods and those receiving fee-for-service compensation reported the least available time to prescribe OAT. Conversely, physicians working in interdisciplinary team settings had increased time for OAT prescribing compared with physicians in other settings. Having a close personal relationship with someone with OUD was correlated with increased comfort in diagnosing OUD as well as with knowledge about and confidence in prescribing OAT. Themes identified as facilitators to increasing OAT prescribing included the addition of resources and supports, increased training, more awareness about OUD and OAT, enhanced compensation, and altered prescribing regulations.

conclusionDespite the presence of several real and perceived barriers limiting OAT prescribing by Saskatchewan family physicians, there are family physicians interested in providing this therapy. Increased clinical resources and support, including increased interdisciplinary practice, are actionable steps that should be considered by policy decision makers to address this issue. Additionally, increased OUD and OAT education, which includes the perspectives of those with lived experience of OUD, would help address physician confidence, knowledge, and awareness in this area.

Indexed as

BuprenorphineOpioid-Related DisordersAnalgesics, OpioidHumansOpiate Substitution TreatmentPhysicians, FamilyPractice Patterns, Physicians'SaskatchewanAnalgesics, OpioidBuprenorphine

Identifiers

PMID38626996
PMCPMC11280670
OpenAlexW4394858756

What OpenQuestion holds

Textmetadata
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.