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- Title
Projected Contributions of Nurse Practitioners and Physicians Assistant to Buprenorphine Treatment Services for Opioid Use Disorder in Rural Areas.
- Authors
Andrilla, C. Holly A.; Patterson, Davis G.; Moore, Tessa E.; Coulthard, Cynthia; Larson, Eric H.
- Abstract
The United States is experiencing an opioid use disorder epidemic. The Comprehensive Addiction and Recovery Act allows nurse practitioners (NPs) and physician assistants (PAs) to obtain a Drug Enforcement Administration waiver to prescribe medication-assisted treatment (MAT) for opioid use disorder. This study projected the potential increase in MAT availability provided by NPs and PAs for rural patients. Using workforce and survey data, and state scope of practice regulations, the number of treatment slots that could be provided by NPs and PAs was estimated for rural areas. NPs and PAs are projected to increase the number of rural patients treated with buprenorphine by 10,777 (15.2%). Census Divisions varied substantially in the number of projected new treatment slots per 10,000 population (0.8-10.6). The New England and East South Central Census Divisions are projected to have the largest population-adjusted increase. NPs and PAs have considerable potential to reduce substantial MAT access disparities.
- Subjects
NEW England; UNITED States; OPIOID abuse; UNITED States. Drug Enforcement Administration; NURSE practitioners; BUPRENORPHINE; RURAL geography; NURSE prescribing; PHYSICIANS; MEDICAL practice; THERAPEUTIC use of narcotics; RESEARCH; SUBSTANCE abuse; RURAL health services; ANALGESICS; RESEARCH methodology; EVALUATION research; MEDICAL cooperation; COMPARATIVE studies; RESEARCH funding; MEDICAL needs assessment
- Publication
Medical Care Research & Review, 2020, Vol 77, Issue 2, p208
- ISSN
1077-5587
- Publication type
journal article
- DOI
10.1177/1077558718793070