Understanding the behavioural determinants of opioid prescribing among family physicians: a qualitative study

Original research
by
Desveaux, L. et al

Release Date

2019

Geography

Canada

Language of Resource

English

Full Text Available

Yes

Open Access / OK to Reproduce

Yes

Peer Reviewed

Yes

Objective

The aim of this work was to understand (1) the perspectives of family physicians (FPs) as it relates to opioid prescribing, and (2) the perceived barriers and enablers to guideline-adherent opioid prescribing and management of chronic non-cancer pain.

Findings/Key points

FPs face a wide range of complex (and often interacting) challenges when prescribing opioid therapy to their patients. Solution-based strategies should target these determinants directly using evidence-based strategies that move beyond guideline dissemination and general education. Shared decision-making strategies and patient-facing decision aids are likely to decrease the tension experienced in challenging conversations.

Design/methods

22 semi-structured interviews

Keywords

Clinical guidance
Policy/Regulatory
Hesitancy of prescribers
Safer supply
About prescribers
Barriers and enablers
Chronic pain