Pain Management During West Virginia's Opioid Crisis
Haggerty, Treah ; Sedney, Cara L. ; Dekeseredy, Patricia ; Nwafor, Divine ; Brownstein, Henry H. ; Caretta, Martina A. LU
and Pollini, Robin A.
(2022)
In Journal of the American Board of Family Medicine : JABFM
35(5).
p.940-950
- Abstract
PURPOSE: Opioid use disorder has caused significant morbidity and mortality resulting in opioid prescribing limiting laws, such as State Bill 273 in West Virginia. The purpose of this study is to explore the impacts of a restrictive opioid prescription law on physicians in medical practice in West Virginia. METHODS: A qualitative study with open-ended semistructured interviews with a purposive sample of physicians in West Virginia. Interviews were recorded and transcribed verbatim. A preliminary code book was developed by 3 coinvestigators. Interview transcriptions were analyzed with a code-based text search query. Content analysis was utilized as the methodological orientation underpinning for the current work. RESULTS: Interviews were... (More)
PURPOSE: Opioid use disorder has caused significant morbidity and mortality resulting in opioid prescribing limiting laws, such as State Bill 273 in West Virginia. The purpose of this study is to explore the impacts of a restrictive opioid prescription law on physicians in medical practice in West Virginia. METHODS: A qualitative study with open-ended semistructured interviews with a purposive sample of physicians in West Virginia. Interviews were recorded and transcribed verbatim. A preliminary code book was developed by 3 coinvestigators. Interview transcriptions were analyzed with a code-based text search query. Content analysis was utilized as the methodological orientation underpinning for the current work. RESULTS: Interviews were conducted with 20 physicians (10 primary care physicians and 10 specialty physicians) in practice in West Virginia. Physicians identified 5 theoretical domains related to SB273: changing opioid prescribing and documentation requirements; rural socioeconomic disparities; a continuum between chronic pain and substance use disorder; difficulty in balancing patient needs and the concern for diversion; lack of available alternatives to opioids for chronic. CONCLUSION: Prescribing opioids in rural West Virginia is complex due to identified challenges. Recommendations for opioids prescribing legislation include clear messaging of guidelines and recommendations, efforts to address socioeconomic disparities of health and pain, and improved accessibility for treatment of both pain and dependence in rural communities are important areas of growth in the rural health care environment.
(Less)
- author
- Haggerty, Treah
; Sedney, Cara L.
; Dekeseredy, Patricia
; Nwafor, Divine
; Brownstein, Henry H.
; Caretta, Martina A.
LU
and Pollini, Robin A.
- organization
- publishing date
- 2022-10
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Chronic Pain, Family Medicine, Opiates, Opioid-Related Disorders, Patient-Centered Care, Prescriptions, Primary Health Care, Qualitative Research, Rural Population, West Virginia
- in
- Journal of the American Board of Family Medicine : JABFM
- volume
- 35
- issue
- 5
- pages
- 11 pages
- publisher
- American Board of Family Medicine
- external identifiers
-
- scopus:85140153813
- pmid:36257694
- ISSN
- 1557-2625
- DOI
- 10.3122/jabfm.2022.05.220097
- language
- English
- LU publication?
- yes
- id
- fc9915fd-e4da-4b09-addd-87c859848d03
- date added to LUP
- 2022-12-13 12:33:08
- date last changed
- 2024-06-13 21:34:23
@article{fc9915fd-e4da-4b09-addd-87c859848d03,
abstract = {{<p>PURPOSE: Opioid use disorder has caused significant morbidity and mortality resulting in opioid prescribing limiting laws, such as State Bill 273 in West Virginia. The purpose of this study is to explore the impacts of a restrictive opioid prescription law on physicians in medical practice in West Virginia. METHODS: A qualitative study with open-ended semistructured interviews with a purposive sample of physicians in West Virginia. Interviews were recorded and transcribed verbatim. A preliminary code book was developed by 3 coinvestigators. Interview transcriptions were analyzed with a code-based text search query. Content analysis was utilized as the methodological orientation underpinning for the current work. RESULTS: Interviews were conducted with 20 physicians (10 primary care physicians and 10 specialty physicians) in practice in West Virginia. Physicians identified 5 theoretical domains related to SB273: changing opioid prescribing and documentation requirements; rural socioeconomic disparities; a continuum between chronic pain and substance use disorder; difficulty in balancing patient needs and the concern for diversion; lack of available alternatives to opioids for chronic. CONCLUSION: Prescribing opioids in rural West Virginia is complex due to identified challenges. Recommendations for opioids prescribing legislation include clear messaging of guidelines and recommendations, efforts to address socioeconomic disparities of health and pain, and improved accessibility for treatment of both pain and dependence in rural communities are important areas of growth in the rural health care environment.</p>}},
author = {{Haggerty, Treah and Sedney, Cara L. and Dekeseredy, Patricia and Nwafor, Divine and Brownstein, Henry H. and Caretta, Martina A. and Pollini, Robin A.}},
issn = {{1557-2625}},
keywords = {{Chronic Pain; Family Medicine; Opiates; Opioid-Related Disorders; Patient-Centered Care; Prescriptions; Primary Health Care; Qualitative Research; Rural Population; West Virginia}},
language = {{eng}},
number = {{5}},
pages = {{940--950}},
publisher = {{American Board of Family Medicine}},
series = {{Journal of the American Board of Family Medicine : JABFM}},
title = {{Pain Management During West Virginia's Opioid Crisis}},
url = {{http://dx.doi.org/10.3122/jabfm.2022.05.220097}},
doi = {{10.3122/jabfm.2022.05.220097}},
volume = {{35}},
year = {{2022}},
}