Chia-Hui Lin, Chang-Hua Chen
Development, testing, and application of a mathematics learning scale of self-direction
Frontiers in psychology
emergency departments ed unique position initiate buprenorphine evidencebased treatment opioid use disorder oud however barriers system clinician level limit use describe series interventions address barriers edinitiated buprenorphine one urban ed compare postintervention physician outcomes study site two affiliated sites without interventions crosssectional study conducted three affiliated urban eds intervention site implemented oudrelated electronic note templates clinical protocols peer navigation program education reminders postintervention administered anonymous online survey physicians three sites survey domains included demographics buprenorphine experience knowledge comfort addressing oud attitudes toward oud treatment physician outcomes compared intervention site control sites bivariate tests used logistic regression controlling significant demographic differences compare physicians buprenorphine experience 113 51 eligible physicians 58 completed survey 27 intervention site 31 control sites physicians intervention site likely spend 75 work week clinical practice medical practice 7 years buprenorphine knowledge including status buprenorphine prescribing waiver comfort addressing oud attitudes toward oud treatment differ significantly sites physicians 45 times likely administered buprenorphine intervention site odds ratio 45 95 confidence interval 14144 p 001 remained significant adjusting clinical time years practice 35 46 respectively physicians exposed interventions addressing system clinicianlevel implementation barriers least three times likely administered buprenorphine ed physicians buprenorphine knowledge comfort addressing attitudes toward oud treatment differ significantly sites findings suggest edinitiated buprenorphine facilitated addressing implementation barriers physician knowledge comfort attitudes may harder improve