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Office-Based Management of Opioid Dependence with Buprenorphine: Clinical Practices and Barriers

Journal of General Internal MedicinePublished 30 June 2008Open access
Alexander Y. Walley, Julie Alperen, Debbie M. Cheng, Michael Botticelli, Carolyn Castro-Donlan, Jeffrey H. Samet
Citations221
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TL;DR

Capacity for increased buprenorphine prescribing exists among physicians who have already obtained a waiver to prescribe, and increased efforts to link waivered physicians with opioid-dependent patients and initiatives to improve institutional support may mitigate barriers to bupenorphine treatment.

Abstract

Capacity for increased buprenorphine prescribing exists among physicians who have already obtained a waiver to prescribe. Increased efforts to link waivered physicians with opioid-dependent patients and initiatives to improve institutional support may mitigate barriers to buprenorphine treatment. Several guideline-driven practices have been widely adopted, such as adjunctive counseling and monitoring patients with drug screening.

Keywords

MedicineHealth Professions