Publications by authors named "Caitlin M Borgert-Spaniol"
Purpose: Clinical decision support (CDS) tools are designed to help primary care clinicians (PCCs) implement evidence-based guidelines for chronic disease care. CDS tools may also be helpful for opioid use disorder (OUD), but only if PCCs use them in their regular workflow. This study's purpose was to understand PCC and clinic leader perceptions of barriers to using an OUD-CDS tool in primary care.
View Article and Find Full Text PDFArticle Synopsis
- The elimination of the X-waiver in January 2023 could boost the number of potential buprenorphine prescribers significantly (up to 13 times), but actual prescribing growth may not match this potential.
- A study surveyed 305 nonwaivered primary care clinicians to identify factors that would influence their likelihood of prescribing buprenorphine if the X-waiver was removed, focusing on patient requests and access to a clinical decision-support (CDS) tool for opioid use disorder (OUD).
- Results indicated that while only 26% of clinicians were influenced by patient requests to prescribe buprenorphine, 63% were more likely to do so with the help of the OUD-CDS, highlighting the need
Health systems are interested in increasing colorectal cancer (CRC) screening rates as CRC is a leading cause of preventable cancer death. Learning health systems are ones that use data to continually improve care. Data can and should include qualitative local perspectives to improve patient and provider education and care.
View Article and Find Full Text PDFPatient Perspectives on Opioid Risk Discussions in Primary Care.
J Patient Cent Res Rev
October 2022
Purpose: Both patients and clinicians have described discussions of potential opioid risks as challenging. This study's goal was to understand patient perspectives on discussing opioid risks with primary care clinicians (PCCs).
Methods: Patients identified to be at elevated risk for problems with opioids (ie, opioid use disorder [OUD] diagnosis, taking a medication for OUD, or having ≥3 opioid prescriptions in the last year) were recruited from an integrated, Upper Midwest health system to participate in semi-structured qualitative interviews.