A Systematic Review Examining Patient and Provider Attitudes Toward Use of Medication for Opioid Use Disorder [paper]
Introduction: Despite drastically rising rates of opioid overdose related deaths, rigid opinions of both patients and providers against the use of medication for opioid use disorder persist in the face of well-established evidence indicating that medication for opioid use disorder is the gold standard of care. The purpose of this systematic review of the literature is to examine the source and effect of negative perceptions and to make recommendations to providers to improve treatment and outcomes for this population. Methods: A systematic review of the literature was conducted to identify the source and extent of perceptions of both patients with opioid use disorder and their providers regarding medication for opioid use disorder. The Neuman Systems Model was used to guide the review to see the patient as a system with many parts that responds to environmental stressors and to bring providers’ focus back to the client’s well-being. Results: Seven articles were included to identify two major themes describing patient and provider attitudes toward medication for opioid use disorder. The first theme identified was that providers and patients carry negative perceptions toward medication for opioid use disorder. The second theme indicated that medication for opioid use disorder is perceived as a replacement drug by providers and patients. Discussion: It is apparent that there is a negative view towards medication for opioid use disorder by both healthcare providers and patients struggling with opioid use disorder. Negative attitudes upheld by healthcare providers and patients continue to prevent access to effective treatment for those struggling with opioid use disorder.
opiod use disorder, substance use disorder, negative stigma, provider attitudes, medication for opiod use disorder
Trejo, A. (2023). A systematic review examining patient and provider attitudes toward use of medication for opioid use disorder [paper]. St. David's School of Nursing, Texas State University.