Home Research Research Library Barriers to care for perinatal patients with opioid use disorder: family physician perspectives Barriers to care for perinatal patients with opioid use disorder: family physician perspectives 2022 Author(s) St Louis, Joshua, Barreto, Tyler W, Taylor, Melina K, Kane, Claire, Worringer, Emma, and Eden, Aimee R Topic(s) Role of Primary Care, and What Family Physicians Do Keyword(s) Teams Volume Family Practice Source Family Practice BACKGROUND: While barriers to care for pregnant patients with opioid use disorder (OUD) have been described, the experiences and challenges of the physicians providing care to these patients are poorly understood. OBJECTIVES: To describe the experiences of family physicians providing comprehensive care to pregnant people with OUD and the challenges they face in providing such care. METHODS: Qualitative thematic analysis of 17 semistructured interviews conducted from July 2019 to September 2020 with family physicians who possess a Drug Enforcement Administration “X” waiver and provide care to pregnant patients. RESULTS: Seventeen family physicians practicing in the United States who care for pregnant people with OUD were interviewed. They described physician-, patient-, and systems-level barriers to providing and accessing care for this patient population. Of the 12 interrelated themes regarding challenges to delivering and accessing this care, 3 were particularly salient: the pervasive effects of social determinants of health, a lack of adequately trained providers, and social stigma associated with pregnant people with OUD. CONCLUSION: A comprehensive, multilevel, and multidisciplinary approach is necessary to address these barriers and move towards health equity for this vulnerable patient population. ABFM Research Read all 2020 Oral corticosteroid use, obesity, and ethnicity in children with asthma Go to Oral corticosteroid use, obesity, and ethnicity in children with asthma 2021 Uniting Public Health and Primary Care for Healthy Communities in the COVID-19 Era and Beyond Go to Uniting Public Health and Primary Care for Healthy Communities in the COVID-19 Era and Beyond 2022 Comprehensiveness-the Need to Resurrect a Sagging Pillar of Primary Care. Go to Comprehensiveness-the Need to Resurrect a Sagging Pillar of Primary Care. 2018 Family Medicine and Obstetrics: Let’s Stop Pretending Go to Family Medicine and Obstetrics: Let’s Stop Pretending
Author(s) St Louis, Joshua, Barreto, Tyler W, Taylor, Melina K, Kane, Claire, Worringer, Emma, and Eden, Aimee R Topic(s) Role of Primary Care, and What Family Physicians Do Keyword(s) Teams Volume Family Practice Source Family Practice
ABFM Research Read all 2020 Oral corticosteroid use, obesity, and ethnicity in children with asthma Go to Oral corticosteroid use, obesity, and ethnicity in children with asthma 2021 Uniting Public Health and Primary Care for Healthy Communities in the COVID-19 Era and Beyond Go to Uniting Public Health and Primary Care for Healthy Communities in the COVID-19 Era and Beyond 2022 Comprehensiveness-the Need to Resurrect a Sagging Pillar of Primary Care. Go to Comprehensiveness-the Need to Resurrect a Sagging Pillar of Primary Care. 2018 Family Medicine and Obstetrics: Let’s Stop Pretending Go to Family Medicine and Obstetrics: Let’s Stop Pretending
2020 Oral corticosteroid use, obesity, and ethnicity in children with asthma Go to Oral corticosteroid use, obesity, and ethnicity in children with asthma
2021 Uniting Public Health and Primary Care for Healthy Communities in the COVID-19 Era and Beyond Go to Uniting Public Health and Primary Care for Healthy Communities in the COVID-19 Era and Beyond
2022 Comprehensiveness-the Need to Resurrect a Sagging Pillar of Primary Care. Go to Comprehensiveness-the Need to Resurrect a Sagging Pillar of Primary Care.
2018 Family Medicine and Obstetrics: Let’s Stop Pretending Go to Family Medicine and Obstetrics: Let’s Stop Pretending
