Opioid Use Disorder Treatment Prescribers’ Views of Implementing an Electronic System to Collect Patient-Reported Outcomes Measures

IF 1.2 4区社会学 Q4 SUBSTANCE ABUSE

Journal of Drug Issues Pub Date : 2024-03-29 DOI:10.1177/00220426241243284

Nusrat Rahman, Adila Ibrahim, Radhika Sagar Verma, Robert P. Schwartz, Diana E. Clarke, Debbie Gibson, Frank J. Vocci, Barbara Casanova, Anna Pagano

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引用次数: 0

Abstract

Use of patient-reported outcomes measures (PROMs) may improve addiction treatment outcomes. This qualitative study investigated barriers and facilitators for PROMs implementation among prescribers of medications for opioid use disorder (MOUD) participating in AMNet, an addiction medicine practice-based research network. Semi-structured interviews were conducted with seven qualitative research participants of 57 AMNet providers. Interview data were analyzed thematically and coded using ATLAS.ti. Barriers included lack of electronic health record (EHR) integration; user interface issues; insufficient administrative support; challenges with patient engagement; and lack of fit with clinical practice. Facilitators included perceptions that PROMs use would improve outcomes and increase accountability while advancing addiction medicine. Patient-reported outcomes measures implementation is feasible in small outpatient MOUD practices, although resource constraints and technological barriers may reduce potential reach.

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阿片类药物使用障碍治疗处方者对实施电子系统收集患者报告结果衡量指标的看法

使用患者报告结果指标（PROMs）可改善成瘾治疗效果。这项定性研究调查了参与成瘾医学实践研究网络 AMNet 的阿片类药物使用障碍（MOUD）处方者实施 PROMs 的障碍和促进因素。对 57 名 AMNet 提供者中的 7 名定性研究参与者进行了半结构式访谈。采用 ATLAS.ti 对访谈数据进行了主题分析和编码。障碍包括缺乏电子健康记录 (EHR) 整合、用户界面问题、行政支持不足、患者参与方面的挑战以及与临床实践不符。促进因素包括认为 PROMs 的使用将改善疗效并增强责任感，同时推动成瘾医学的发展。尽管资源限制和技术障碍可能会降低潜在的覆盖范围，但在小型门诊 MOUD 实践中实施患者报告结果测量是可行的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Drug Issues SUBSTANCE ABUSE-

CiteScore

3.00

自引率

11.80%

发文量

期刊介绍： The Journal of Drug Issues (JDI) was incorporated as a nonprofit entity in the State of Florida in 1971. In 1996, JDI was transferred to the Florida State University College of Criminology and Criminal Justice, and the Richard L. Rachin Endowment was established to support its continued publication. Since its inception, JDI has been dedicated to providing a professional and scholarly forum centered on the national and international problems associated with drugs, especially illicit drugs. It is a refereed publication with international contributors and subscribers. As a leader in its field, JDI is an instrument widely used by research scholars, public policy analysts, and those involved in the day-to-day struggle against the problem of drug abuse.