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Evaluation of Resident Physicians’ Knowledge of and Attitudes Towards Prescribing Buprenorphine for Patients With Opioid Use Disorder

机译:对阿片类药物使用障碍患者的居民医院对丁丙诺啡患者的认识及态度的评价

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Supplemental Digital Content is available in the text Objective: To determine internal medicine (IM) residents’ knowledge of, attitudes towards, and barriers to prescribing buprenorphine for opioid use disorder (OUD). Methods: We conducted a cross-sectional study of IM residents across all 35 Accreditation Council for Graduate Medical Education (ACGME) accredited Florida IM residency programs. We used an online survey to collect information about resident demographics, substance use curriculums, career interests, content knowledge about diagnosing and managing OUD, and attitudes about and barriers to prescribing buprenorphine for OUD. We used Chi-square test to explore differences in interest in prescribing buprenorphine. We created a composite knowledge score and investigated distribution of knowledge among characteristics via Mann-Whitney U test. Results: There were 161 participants (response rate 16.0%, n?=?1008) across 35 programs Seventy-seven percent of residents provided care for patients with OUD more than once per month. Seventy-four percent report no buprenorphine prescribing training. Higher knowledge scores, interest in primary care, being an intern, and caring for patients with OUD more than monthly were associated with interest in obtaining a buprenorphine waiver ( P ?
机译:补充数字内容见正文目的:确定内科(IM)居民对丁丙诺啡治疗阿片类药物使用障碍(OUD)的知识、态度和障碍。方法:我们对所有35个研究生医学教育认证委员会(ACGME)认证的佛罗里达IM住院项目的IM住院患者进行了横断面研究。我们使用一项在线调查来收集关于居民人口统计、药物使用课程、职业兴趣、关于OUD诊断和管理的内容知识,以及关于为OUD开丁丙诺啡处方的态度和障碍的信息。我们使用卡方检验来探讨开丁丙诺啡处方的兴趣差异。我们创建了一个综合知识得分,并通过Mann-Whitney U检验研究了知识在特征之间的分布。结果:35个项目共有161名参与者(应答率16.0%,n?=1008),其中77%的居民每月为OUD患者提供一次以上的护理。74%的人表示没有丁丙诺啡处方培训。更高的知识分数、对初级保健的兴趣、实习医生的身份以及每月对OUD患者的护理次数与获得丁丙诺啡豁免的兴趣相关(P<0.05)。对OUD的了解有限是开丁丙诺啡处方的最重要障碍。89%的人支持立法解除对丁丙诺啡的管制。结论:关于OUD管理的知识很差,是丁丙诺啡处方中最常见的障碍。居民希望扩大他们在治疗OUD方面的作用。我们的发现证明了将成瘾医学纳入住院医师课程标准的必要性。立法取消丁丙诺啡豁免要求可能会增加居民丁丙诺啡处方的数量,并改善阿片类成瘾患者的治疗选择。

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