Nurse practitioner and physician assistant interest in prescribing buprenorphine.
Office-based buprenorphine places health care providers in a unique position to combine HIV and drug treatment in the primary care setting. However, federal legislation restricts nurse practitioners (NPs) and physician assistants (PAs) from prescribing buprenorphine, which may limit its potential for uptake and inhibit the role of these nonphysician providers in delivering drug addiction treatment to patients with HIV. This study aimed to examine the level of interest in prescribing buprenorphine among nonphysician providers. We anonymously surveyed providers attending HIV educational conferences in six large U.S. cities about their interest in prescribing buprenorphine. Overall, 48.6% (n = 92) of nonphysician providers were interested in prescribing buprenorphine. Compared to infectious disease specialists, nonphysician providers (adjusted odds ratio [AOR] = 2.89, 95% confidence interval [CI] = 1.22-6.83) and generalist physicians (AOR = 2.04, 95% CI = 1.09-3.84) were significantly more likely to be interested in prescribing buprenorphine. NPs and PAs are interested in prescribing buprenorphine. To improve uptake of buprenorphine in HIV settings, the implications of permitting nonphysician providers to prescribe buprenorphine should be further explored.
Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY 10467, USA. rroose@montefiore.org
Robert J
RJ
Roose
Hillary V
HV
Kunins
Nancy L
NL
Sohler
Rashiah T
RT
Elam
Chinazo O
CO
Cunningham
D002047:Buprenorphine / Q000627:therapeutic use*; D003710:Demography; D011307:Drug Prescriptions / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009292:Narcotic Antagonists / Q000627:therapeutic use*; D009722:Nurse Practitioners / Q000706:statistics & numerical data*; D009293:Opioid-Related Disorders / Q000453:epidemiology* / Q000534:rehabilitation*; D010823:Physician Assistants / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires
D009292:Narcotic Antagonists; D002047:Buprenorphine