Primary care professionals’ perspectives on tailoring buprenorphine training for rural practice

• DOI: 10.1111/jrh.12832
• Publication Date: 2024-03-15T04:17:29Z
• Authors: Cheyenne Fenstemaker; Elizabeth A. Abrams; Benjamin Obringer; Katherine King; Lindsay Y. Dhanani; Berkeley Franz
• Keywords: Rural Health; Rurality

Abstract Purpose Buprenorphine is a highly effective medication for opioid use disorder (OUD) that remains substantially underutilized by primary care professionals (PCPs). This particularly true in rural communities, which have fewer prescribers and significant access disparities. The Drug Enforcement Administration removed the X‐waiver requirement December 2022, yet many clinicians still report barriers to prescribing buprenorphine. In this study, we examined PCPs’ experiences with buprenorphine identify tailored training strategies practice. Methods Physicians, nurse practitioners, physician associates practicing Ohio counties were recruited through contacts at statewide health associations professions programs. Twenty‐three PCPs interviewed about their perspectives on buprenorphine, including history. Findings self‐reported being motivated respond OUD. However, they also reported current efforts failed equip them knowledge resources needed prescribe effectively, urban‐focused often alienated clinicians. Participants suggested tailoring content settings, using trainers, bolstering confidence navigating rural‐specific barriers, such as resource deficits acute fatigue. Conclusion Our study found inadequate meeting needs of PCPs. Tailored improve accessibility acceptability, better support clinical workforce communities disproportionately impacted epidemic.