Most buprenorphine prescriptions are written by a small variety of suppliers

Most buprenorphine prescriptions are written by a small variety of suppliers

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Most prescriptions for the drug buprenorphine, used to deal with opioid use dysfunction, are written by a small variety of the well being care suppliers, in keeping with a brand new RAND Company research.

Printed within the June 1 version of the Journal of the American Medical Affiliation, the research discovered that half of all patient-months of buprenorphine therapy throughout 2016 and 2017 have been prescribed by simply 4.9% of the physicians and different suppliers who prescribed the drug throughout the interval.

“These findings have vital implications for efforts to extend buprenorphine entry,” mentioned Dr. Bradley D. Stein, the research’s lead writer and a senior doctor researcher at RAND, a nonprofit analysis group. “Our research means that focused efforts to encourage extra present prescribers to turn into high-volume prescribers, and encourage present high-volume subscribers to securely and successfully deal with much more sufferers, could also be a potent strategy to enhance buprenorphine therapy capability.”

Buprenorphine is a drug that helps individuals with opioid dependancy to handle their sickness and chorus from illicitly utilizing opioids. Authorized to be used in 2002, buprenorphine may be prescribed by office-based physicians and different well being suppliers reminiscent of nurse practitioners, traditionally as soon as they’ve accomplished an authorised course.

Conventional opioid therapy applications generally require sufferers to take methadone on-site at a clinic underneath direct supervision of a well being care supplier. Such applications sometimes are situated in city areas, leaving many individuals in rural areas with little entry to therapy.

With an estimated 2 million individuals throughout the nation affected by opioid use dysfunction, prior analysis has proven that larger use of buprenorphine has made treatment therapy extra accessible to extra of those that need assistance.

Within the new research, RAND researchers used IQVIA Prescription knowledge, which captures roughly 90% of all prescriptions crammed at retail pharmacies within the U.S., to determine clinicians who prescribed buprenorphine formulations used to deal with opioid use dysfunction at the very least as soon as between January 2017 and December 2018, and calculated the entire months of affected person care every clinician offered.

Complete patient-months of buprenorphine therapy was pushed by a small share of high-volume prescribers. Half of all patient-months of buprenorphine therapy throughout 2017-2018 have been prescribed by the most-active 4.9% of prescribers (a complete of two,450 prescribers).

These high-volume prescribers handled a mean of 124 sufferers per thirty days, with major care physicians (63.6%), psychiatrists (14.3%), ache specialists (8.3%) and dependancy specialists (4.4%) representing about 90% of all high-volume prescribers.

The month-to-month affected person caseload for many of these suppliers was properly under the present most affected person restrict of 275 sufferers prescribed buprenorphine at one time.

“Given {that a} comparatively low variety of suppliers account for a lot of the buprenorphine prescribing, offering focused assist to these prepared to securely deal with extra sufferers could also be a extra promising technique to extend treatment therapy amongst individuals combating opioid dependancy than primarily specializing in growing the variety of new prescribers,” Stein mentioned.

US lifts limitations to prescribing dependancy therapy drug

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RAND Company

Most buprenorphine prescriptions are written by a small variety of suppliers (2021, June 1)
retrieved 1 June 2021

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