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    Opioid use disorder in pregnancy: leveraging provider perceptions to inform comprehensive treatment

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    Author
    Titus-Glover, D.
    Shaya, F.T.
    Welsh, C.
    Qato, D.M.
    Shah, S.
    Gresssler, L.E.
    Vivrette, R.
    Date
    2021-03-10
    Journal
    BMC Health Services Research
    Publisher
    Springer Nature
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.1186/s12913-021-06182-0
    Abstract
    Background: Medications for opioid use disorder (MOUD) are recommended with adjuvant behavioral therapies, counseling, and other services for comprehensive treatment of maternal opioid use disorder. Inadequate access to treatment, lack of prescribing providers and complex delivery models are among known barriers to care. Multi-disciplinary provider input can be leveraged to comprehend factors that facilitate or inhibit treatment. The objective of this study is to explore provider perceptions of MOUD and factors critical to comprehensive treatment delivery to improve the care of pregnant women with opioid use disorder. Methods: A qualitative research approach was used to gather data from individual provider and group semi-structured interviews. Providers (n = 12) responded to questions in several domains related to perceptions of MOUD, treatment delivery, access to resources, and challenges/barriers. Data were collected, transcribed, coded (by consensus) and emerging themes were analyzed using grounded theory methodology. Results: Emerging themes revealed persistent gaps in treatment and challenges in provider, health systems and patient factors. Providers perceived MOUD to be a "lifeline" to women. Conclusions: Inconsistencies in treatment provision, access and uptake can be improved by leveraging provider perceptions, direct experiences and recommendations for an integrated team-based, patient-centered approach to guide the care of pregnant women with opioid use disorder. Copyright 2021, The Author(s).
    Sponsors
    This study was supported by the Parent Project Grant #10020715, Patient-Centered Involvement in Evaluating the Effectiveness of Treatments (PATIENT) and Patient-Centered Outcomes Research (PCOR) projects.
    Keyword
    Medications for opioid use disorder
    Medication-assisted treatment
    Opioid use disorder
    Pregnancy and healthcare provider
    Pregnant women
    Qualitative pilot study
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/15169
    ae974a485f413a2113503eed53cd6c53
    10.1186/s12913-021-06182-0
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