Equitable access to care is problematic; some people get it, most are left out.
The REDONNA study (https://doi.org/10.1016/j.cct.2021.106462) began from the motivation for equitable opioid prescribing in primary care. It aimed to provide prescribing non-judgmental feedback to physicians using audit & feedback letters developed by the @Drug_Evidence and @DrRitaMc @malcolmlaclure
They received information about the number of new opioid initiations & how they compared to the average physician. They were provided information on the (lack) of effectiveness on pain for opioid naïve patients through educational webinars: https://doi.org/10.1093/fampra/cmac044
From this study, we hope to support the uptake of quality prescribing practices that are equity-oriented and evidence-based to help patients manage pain.
Equitable care saves lives
This includes equitable prescribing for individuals who use opioids in addition to medical education that goes beyond and amplifies the message of international @OverdoseDay #IOAD2022 #endoverdose
Special thanks to @ShawnaNarayan for coordinating REDONNA and crafting educational messages.
Opioid analgesic prescribing has been in trouble for decades in North America. Things are changing, though. Still, there’s room to adjust care, especially new starts.
[April 27] The ongoing opioid crisis continues to inflict serious harms on thousands of British Columbians. Some harms are due to initiation of opioid analgesics in primary care which contributes to the development of prescription opioid addiction and opioid use disorder (OUD) in up to a quarter of all individuals started on opioid analgesics. (more…)
Our new study published in the Canadian Journal of Addiction found plateauing rates of new starts of opioid analgesics in British Columbia in 2018-2019. We wanted to find out how many and what kind of opioid prescriptions were started to opioid naïve patients by family physicians in British Columbia. (more…)
Improving opioid agonist care continuation remains to be a challenge for many community based addiction treatment organizations. Research into effective strategies has used both randomized and non-randomized designs. Is there any difference in treatment dropout between these different study types? (more…)