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Home Research Research Library Characteristics of Office-Based Buprenorphine Prescribers for Medicare Patients Characteristics of Office-Based Buprenorphine Prescribers for Medicare Patients 2020 Author(s) Abraham, Rohit, Wilkinson, Elizabeth, Jabbarpour, Yalda, Petterson, Stephen M, and Bazemore, Andrew W Topic(s) Education & Training, and What Family Physicians Do Keyword(s) Medicare, and Graduate Medical Education Volume 33(1):9-16 Source Journal of the American Board of Family Medicine Introduction: Opioid use disorder (OUD) is a major and growing public health concern, and Medicare patients have nearly double the proportion of OUD prevalence compared with those with commercial insurance. This study examines provider-level characteristics to delineate the wide variation behind buprenorphine provision, which is the mainstay of medication-assisted treatment for OUD. Methods: Using Medicare Part D Public Use Files claims data from 2013 to 2016 in all states, we assessed prescribing patterns of buprenorphine formulations for the specialties of family medicine, internal medicine, psychiatry, and general practice. We incorporated data from 2013 to 2016 American Medical Association Physician Masterfile to model various provider- and area-level characteristics as predictors of buprenorphine prescriber status. Results: Family medicine and internal medicine comprise nearly two-thirds of the outpatient buprenorphine prescriber population for Medicare beneficiaries. Yet, both specialties also have the lowest proportion of active buprenorphine prescribers compared with psychiatrists and general practitioners. Additional characteristics associated with buprenorphine provision include male sex, osteopathic training, Northeast region, US undergraduate medical education, more years in practice, and a higher proportion of dual-eligible patients. Conclusions: Primary care specialties, such as family medicine and internal medicine, currently comprise a significant majority of the US buprenorphine prescriber population for Medicare beneficiaries. Future policies should target specific demographics to enable greater patient access from physicians who are characteristically less likely to prescribe buprenorphine to increase overall capacity. Read More ABFM Research Read all 2018 Characteristics of Graduating Family Medicine Residents Who Intend to Practice Maternity Care Go to Characteristics of Graduating Family Medicine Residents Who Intend to Practice Maternity Care 2022 Pandemic Disruption in Residency Did Not Alter Trends in Intended Scope of Practice Go to Pandemic Disruption in Residency Did Not Alter Trends in Intended Scope of Practice 2015 Family medicine graduate proximity to their site of training: policy options for improving the distribution of primary care access Go to Family medicine graduate proximity to their site of training: policy options for improving the distribution of primary care access 2018 A Model for Educational Survey Research Go to A Model for Educational Survey Research
Author(s) Abraham, Rohit, Wilkinson, Elizabeth, Jabbarpour, Yalda, Petterson, Stephen M, and Bazemore, Andrew W Topic(s) Education & Training, and What Family Physicians Do Keyword(s) Medicare, and Graduate Medical Education Volume 33(1):9-16 Source Journal of the American Board of Family Medicine
ABFM Research Read all 2018 Characteristics of Graduating Family Medicine Residents Who Intend to Practice Maternity Care Go to Characteristics of Graduating Family Medicine Residents Who Intend to Practice Maternity Care 2022 Pandemic Disruption in Residency Did Not Alter Trends in Intended Scope of Practice Go to Pandemic Disruption in Residency Did Not Alter Trends in Intended Scope of Practice 2015 Family medicine graduate proximity to their site of training: policy options for improving the distribution of primary care access Go to Family medicine graduate proximity to their site of training: policy options for improving the distribution of primary care access 2018 A Model for Educational Survey Research Go to A Model for Educational Survey Research
2018 Characteristics of Graduating Family Medicine Residents Who Intend to Practice Maternity Care Go to Characteristics of Graduating Family Medicine Residents Who Intend to Practice Maternity Care
2022 Pandemic Disruption in Residency Did Not Alter Trends in Intended Scope of Practice Go to Pandemic Disruption in Residency Did Not Alter Trends in Intended Scope of Practice
2015 Family medicine graduate proximity to their site of training: policy options for improving the distribution of primary care access Go to Family medicine graduate proximity to their site of training: policy options for improving the distribution of primary care access