Pain Management During West Virginia's Opioid Crisis

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MARC

Haggerty, TreahUniversity of West Virginia (author)

Pain Management During West Virginia's Opioid Crisis

Article/chapterEnglish2022

Publisher, publication year, extent ...

2022
11 s.

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LIBRIS-ID:oai:lup.lub.lu.se:fc9915fd-e4da-4b09-addd-87c859848d03
https://lup.lub.lu.se/record/fc9915fd-e4da-4b09-addd-87c859848d03URI

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Language:English
Summary in:English

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SwePubSwePub

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Subject category:art swepub-publicationtype
Subject category:ref swepub-contenttype

Notes

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.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Health Care Service and Management, Health Policy and Services and Health Economy hsv//eng
Chronic Pain
Family Medicine
Opiates
Opioid-Related Disorders
Patient-Centered Care
Prescriptions
Primary Health Care
Qualitative Research
Rural Population
West Virginia

Added entries (persons, corporate bodies, meetings, titles ...)

Sedney, Cara L.University of West Virginia (author)
Dekeseredy, PatriciaUniversity of West Virginia (author)
Nwafor, DivineUniversity of West Virginia (author)
Brownstein, Henry H.University of West Virginia (author)
Caretta, Martina A.Lund University,Lunds universitet,Institutionen för kulturgeografi och ekonomisk geografi,Samhällsvetenskapliga institutioner och centrumbildningar,Samhällsvetenskapliga fakulteten,Department of Human Geography,Departments of Administrative, Economic and Social Sciences,Faculty of Social Sciences(Swepub:lu)ma2424ca (author)
Pollini, Robin A.University of West Virginia (author)
University of West VirginiaInstitutionen för kulturgeografi och ekonomisk geografi (creator_code:org_t)

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In:Journal of the American Board of Family Medicine : JABFM35:5, s. 940-9501557-2625

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Health Care Serv ...

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