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HomeHealthDuring pandemic, growth of clinicians with X-waivers for buprenorphine prescribing slowed

During pandemic, growth of clinicians with X-waivers for buprenorphine prescribing slowed



The expansion within the variety of clinicians with waivers to prescribe buprenorphine slowed throughout the pandemic, and help and mentorship are wanted to facilitate acquiring a waiver, based on two research revealed on-line Might 12 in JAMA Community Open.

Joanne Spetz, Ph.D., from the College of California in San Francisco, and colleagues examined the variety of clinicians with waivers to prescribe buprenorphine for opioid use dysfunction earlier than and throughout the COVID-19 pandemic. The researchers discovered that 47,912 clinicians had waivers to prescribe buprenorphine in quarter (Q)2 of 2018 (84.3 p.c physicians) in contrast with 99,481 clinicians in This autumn of 2021 (69.4 p.c physicians). The variety of waivers grew at a imply of 4,234 per quarter earlier than the pandemic in contrast with 3,133 per quarter throughout the pandemic.

Holly J. Lanham, Ph.D., from the College of Texas Well being Science Middle San Antonio, and colleagues examined obstacles and facilitators of acquiring an X-waiver and prescribing buprenorphine in a survey examine carried out between September and December 2020. The researchers discovered that 48.4 p.c of the 126 clinicians who responded had acquired an X-waiver; of those, 36 and 64 p.c have been and weren’t prescribing buprenorphine, respectively. Considerably totally different obstacles amongst waivered and nonwaivered clinicians included the complexity of the X-waiver course of, perceived lack {of professional} help and a referral community, and getting began. Considerably totally different obstacles skilled by prescribers and nonprescribers have been getting began and accessing reimbursement for remedy. Facilitators talked about most continuously have been adjustments to the waiver coaching and the necessity for networks connecting skilled clinicians with these beginning out.

“Clinicians want ongoing help and mentorship from skilled and educated clinicians all through the X-waiver and prescribing processes,” Lanham and colleagues write.


Restricted entry to buprenorphine restricts resident physicians treating opioid abusers


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Throughout pandemic, development of clinicians with X-waivers for buprenorphine prescribing slowed (2022, Might 13)
retrieved 14 Might 2022
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