Transforming Prescription Opioid Practices in Primary Care With Change Theory

The opioid epidemic continues to be an ongoing public health crisis. Many primary health care providers aptly serve as the gatekeeper to opioid prescriptions. The opioid epidemic has challenged the primary care profession whilst many of these providers have opted out of opioid prescribing altogether...

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Autores principales:	Rob E. Carpenter, Dave Silberman, Jody K Takemoto
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/a6d70a7076e74f93a42fb5c9ad79c231
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id	oai:doaj.org-article:a6d70a7076e74f93a42fb5c9ad79c231
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spelling	oai:doaj.org-article:a6d70a7076e74f93a42fb5c9ad79c2312021-12-02T23:03:31ZTransforming Prescription Opioid Practices in Primary Care With Change Theory1178-632910.1177/11786329211058283https://doaj.org/article/a6d70a7076e74f93a42fb5c9ad79c2312021-12-01T00:00:00Zhttps://doi.org/10.1177/11786329211058283https://doaj.org/toc/1178-6329The opioid epidemic continues to be an ongoing public health crisis. Many primary health care providers aptly serve as the gatekeeper to opioid prescriptions. The opioid epidemic has challenged the primary care profession whilst many of these providers have opted out of opioid prescribing altogether. This unintended consequence affirms erosion to primary care that is vital to the ecosystem of opioid management. The purpose of this study was to understand strategies to deliver opioids safely and effectively. Results indicate primary care providers are uniquely positioned to make a positive opioid impact through focused change initiatives. Five common themes arose from the inductive analysis: (1) provide leadership support; (2) define standard of work; (3) conduct pre-visit reviews; (4) conduct post-visit reviews; and (5) measure progress. Then, each common theme was deductively analyzed through a view of Kotter’s change theory to support an effective proxy for implementing and sustaining chronic opioid therapy in a primary care context. These finding have potential to provide actionable implications for health care management professionals and primary care organizations such as hospitals and group practices.Rob E. CarpenterDave SilbermanJody K TakemotoSAGE PublishingarticleMedicine (General)R5-920Public aspects of medicineRA1-1270ENHealth Services Insights, Vol 14 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	Medicine (General) R5-920 Public aspects of medicine RA1-1270 Rob E. Carpenter Dave Silberman Jody K Takemoto Transforming Prescription Opioid Practices in Primary Care With Change Theory
description	The opioid epidemic continues to be an ongoing public health crisis. Many primary health care providers aptly serve as the gatekeeper to opioid prescriptions. The opioid epidemic has challenged the primary care profession whilst many of these providers have opted out of opioid prescribing altogether. This unintended consequence affirms erosion to primary care that is vital to the ecosystem of opioid management. The purpose of this study was to understand strategies to deliver opioids safely and effectively. Results indicate primary care providers are uniquely positioned to make a positive opioid impact through focused change initiatives. Five common themes arose from the inductive analysis: (1) provide leadership support; (2) define standard of work; (3) conduct pre-visit reviews; (4) conduct post-visit reviews; and (5) measure progress. Then, each common theme was deductively analyzed through a view of Kotter’s change theory to support an effective proxy for implementing and sustaining chronic opioid therapy in a primary care context. These finding have potential to provide actionable implications for health care management professionals and primary care organizations such as hospitals and group practices.
format	article
author	Rob E. Carpenter Dave Silberman Jody K Takemoto
author_facet	Rob E. Carpenter Dave Silberman Jody K Takemoto
author_sort	Rob E. Carpenter
title	Transforming Prescription Opioid Practices in Primary Care With Change Theory
title_short	Transforming Prescription Opioid Practices in Primary Care With Change Theory
title_full	Transforming Prescription Opioid Practices in Primary Care With Change Theory
title_fullStr	Transforming Prescription Opioid Practices in Primary Care With Change Theory
title_full_unstemmed	Transforming Prescription Opioid Practices in Primary Care With Change Theory
title_sort	transforming prescription opioid practices in primary care with change theory
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/a6d70a7076e74f93a42fb5c9ad79c231
work_keys_str_mv	AT robecarpenter transformingprescriptionopioidpracticesinprimarycarewithchangetheory AT davesilberman transformingprescriptionopioidpracticesinprimarycarewithchangetheory AT jodyktakemoto transformingprescriptionopioidpracticesinprimarycarewithchangetheory
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Transforming Prescription Opioid Practices in Primary Care With Change Theory

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