Understanding the behavioural determinants of opioid prescribing among family physicians: a qualitative study

Original research
par
Desveaux, L. et al

Date de publication

2019

Géographie

Canada

Langue de la ressource

English

Texte disponible en version intégrale

Oui

Open Access / OK to Reproduce

Oui

Évalué par des pairs

Yes

L’objectif

The aim of this work was to understand (1) the perspectives of family physicians (FPs) as it relates to opioid prescribing, and (2) the perceived barriers and enablers to guideline-adherent opioid prescribing and management of chronic non-cancer pain.

Constatations/points à retenir

FPs face a wide range of complex (and often interacting) challenges when prescribing opioid therapy to their patients. Solution-based strategies should target these determinants directly using evidence-based strategies that move beyond guideline dissemination and general education. Shared decision-making strategies and patient-facing decision aids are likely to decrease the tension experienced in challenging conversations.

La conception ou méthodologie de recherche

22 semi-structured interviews

Mots clés

Clinical guidance
Policy/Regulatory
Hesitancy of prescribers
Safer supply
About prescribers
Barriers and enablers
Chronic pain