Projected Contributions of Nurse Practitioners and Physicians Assistant to Buprenorphine Treatment Services for Opioid Use Disorder in Rural Areas
| Autor: | Cynthia Coulthard, Eric H. Larson, Davis G. Patterson, C. Holly A. Andrilla, Tessa E. Moore |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Scope of practice Population 03 medical and health sciences 0302 clinical medicine New England Surveys and Questionnaires Opiate Substitution Treatment Humans Medicine Nurse Practitioners 030212 general & internal medicine Practice Patterns Physicians' education Health Services Needs and Demand education.field_of_study business.industry 030503 health policy & services Health Policy Rural health Opioid use disorder Opioid-Related Disorders medicine.disease Waiver United States Buprenorphine Analgesics Opioid Physician Assistants Family medicine Workforce Rural Health Services Rural area 0305 other medical science business medicine.drug |
| Zdroj: | Medical Care Research and Review. 77:208-216 |
| ISSN: | 1552-6801 1077-5587 |
| DOI: | 10.1177/1077558718793070 |
| Popis: | The United States is experiencing an opioid use disorder epidemic. The Comprehensive Addiction and Recovery Act allows nurse practitioners (NPs) and physician assistants (PAs) to obtain a Drug Enforcement Administration waiver to prescribe medication-assisted treatment (MAT) for opioid use disorder. This study projected the potential increase in MAT availability provided by NPs and PAs for rural patients. Using workforce and survey data, and state scope of practice regulations, the number of treatment slots that could be provided by NPs and PAs was estimated for rural areas. NPs and PAs are projected to increase the number of rural patients treated with buprenorphine by 10,777 (15.2%). Census Divisions varied substantially in the number of projected new treatment slots per 10,000 population (0.8-10.6). The New England and East South Central Census Divisions are projected to have the largest population-adjusted increase. NPs and PAs have considerable potential to reduce substantial MAT access disparities. |
| Databáze: | OpenAIRE |
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