Why equity hinders effective pain relief for opioid naive people

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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.

Family physician and practice characteristics in audit and feedback

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Audit and feedback interventions elicit behaviour change by describing existing patterns of behaviour and providing education about desired ideal behaviours. But these effects vary based on their design and delivery.
Although many studies showed the effectiveness of such interventions on clinician prescribing behaviours, few have looked at the prescriber and practice characteristics most predictive of behaviour changes.
Understanding which clinicians are most likely to respond positively is necessary for improving quality of care.


How was this review done?

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Exploring barriers and facilitators to health equity

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[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…)