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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 2019 Endoscopic Services in the United States: By Whom, for What, and Why? Go to Endoscopic Services in the United States: By Whom, for What, and Why? 2013 Specialty board certification in the United States: issues and evidence Go to Specialty board certification in the United States: issues and evidence 2020 Quality Changes Among Primary Care Clinicians Participating in the Transforming Clinical Practice Initiative Go to Quality Changes Among Primary Care Clinicians Participating in the Transforming Clinical Practice Initiative 2017 Preserving Primary Care Robustness Despite Increasing Health System Integration Go to Preserving Primary Care Robustness Despite Increasing Health System Integration
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 2019 Endoscopic Services in the United States: By Whom, for What, and Why? Go to Endoscopic Services in the United States: By Whom, for What, and Why? 2013 Specialty board certification in the United States: issues and evidence Go to Specialty board certification in the United States: issues and evidence 2020 Quality Changes Among Primary Care Clinicians Participating in the Transforming Clinical Practice Initiative Go to Quality Changes Among Primary Care Clinicians Participating in the Transforming Clinical Practice Initiative 2017 Preserving Primary Care Robustness Despite Increasing Health System Integration Go to Preserving Primary Care Robustness Despite Increasing Health System Integration
2019 Endoscopic Services in the United States: By Whom, for What, and Why? Go to Endoscopic Services in the United States: By Whom, for What, and Why?
2013 Specialty board certification in the United States: issues and evidence Go to Specialty board certification in the United States: issues and evidence
2020 Quality Changes Among Primary Care Clinicians Participating in the Transforming Clinical Practice Initiative Go to Quality Changes Among Primary Care Clinicians Participating in the Transforming Clinical Practice Initiative
2017 Preserving Primary Care Robustness Despite Increasing Health System Integration Go to Preserving Primary Care Robustness Despite Increasing Health System Integration
