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Implementing a Standardized Opioid Use Disorder Screening and Referral Care Model in a North Carolina Adult Primary Care Office
Implementing a Standardized Opioid Use Disorder Screening and Referral Care Model in a North Carolina Adult Primary Care Office
상세정보
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20260202105312
- ISBN
- 9798270290481
- DDC
- 610.73
- 서명/저자
- Implementing a Standardized Opioid Use Disorder Screening and Referral Care Model in a North Carolina Adult Primary Care Office
- 발행사항
- [Sl] : The University of North Carolina at Chapel Hill, 2025
- 발행사항
- Ann Arbor : ProQuest Dissertations & Theses, 2025
- 형태사항
- 53 p
- 주기사항
- Source: Dissertations Abstracts International, Volume: 87-07, Section: B.
- 주기사항
- Advisor: Sharpe, Leslie.
- 학위논문주기
- Thesis (D.N.P.)--The University of North Carolina at Chapel Hill, 2025.
- 초록/해제
- 요약Purpose: North Carolina has experienced significant impacts of the opioid epidemic, with rates of use disorder and unintentional overdose on the rise annually. Despite this, screening and referral for opioid use disorder (OUD) is typically not part of routine primary care.Methods: This pilot implements a standardized OUD screening and referral pathway in an adult primary care office aiming to increase identification of OUD and access to treatment in the patient population. The process was standardized as a clinical pathway, directing screening to be conducted for all adult patients in the practice annually, and offering contact information for local treatment resources and a prescription for Narcan for those who screened positive.Results: The screening portion of the pathway had a 77.86% success rate, indicated by 292 patients receiving the screening of the total 375 patients seen by the NP during the pilot period. Screening rates for OUD increased by roughly 22.6% in comparison to pre-intervention rates for the NP's full patient panel, with the rate at a pre-intervention of 3.4%, and a post-intervention of 26%. There were no patients who screened positive for OUD in this pilot; therefore, the treatment resource portion of the pathway was not administered to any patients.Conclusions: Findings demonstrate that implementation of a standardized OUD screening and referral pathway is highly effective at increasing the rate of screening in the patient population but has consistently low yield. Future research is needed to address potential causative factors of low yield and assess methods to overcome them. Still, increasing rates of OUD screening more adequately assesses the holistic needs of the adult primary care patient population, and better addresses a stigma and shame-carrying condition that is undoubtedly present in the community. Implementation of the standardized pathway starts the conversation about OUD for those who otherwise would not seek help from their primary care, allowing them to feel safe in their disclosure. Medical professionals have an opportunity to further ensure the health and safety of their patients and provide harm reduction interventions, ultimately contributing to a healthier population.
- 일반주제명
- Nursing
- 일반주제명
- Health sciences
- 일반주제명
- Clinical psychology
- 키워드
- Referral pathway
- 기타저자
- The University of North Carolina at Chapel Hill Nursing
- 기본자료저록
- Dissertations Abstracts International. 87-07B.
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
008260126s2025 us c eng d■001000017360151
■00520260202105312
■006m o d
■007cr#unu||||||||
■020 ▼a9798270290481
■035 ▼a(MiAaPQ)AAI32284772
■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a610.73
■1001 ▼aAglieco, Alexandra.
■24510▼aImplementing a Standardized Opioid Use Disorder Screening and Referral Care Model in a North Carolina Adult Primary Care Office
■260 ▼a[Sl]▼bThe University of North Carolina at Chapel Hill▼c2025
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2025
■300 ▼a53 p
■500 ▼aSource: Dissertations Abstracts International, Volume: 87-07, Section: B.
■500 ▼aAdvisor: Sharpe, Leslie.
■5021 ▼aThesis (D.N.P.)--The University of North Carolina at Chapel Hill, 2025.
■520 ▼aPurpose: North Carolina has experienced significant impacts of the opioid epidemic, with rates of use disorder and unintentional overdose on the rise annually. Despite this, screening and referral for opioid use disorder (OUD) is typically not part of routine primary care.Methods: This pilot implements a standardized OUD screening and referral pathway in an adult primary care office aiming to increase identification of OUD and access to treatment in the patient population. The process was standardized as a clinical pathway, directing screening to be conducted for all adult patients in the practice annually, and offering contact information for local treatment resources and a prescription for Narcan for those who screened positive.Results: The screening portion of the pathway had a 77.86% success rate, indicated by 292 patients receiving the screening of the total 375 patients seen by the NP during the pilot period. Screening rates for OUD increased by roughly 22.6% in comparison to pre-intervention rates for the NP's full patient panel, with the rate at a pre-intervention of 3.4%, and a post-intervention of 26%. There were no patients who screened positive for OUD in this pilot; therefore, the treatment resource portion of the pathway was not administered to any patients.Conclusions: Findings demonstrate that implementation of a standardized OUD screening and referral pathway is highly effective at increasing the rate of screening in the patient population but has consistently low yield. Future research is needed to address potential causative factors of low yield and assess methods to overcome them. Still, increasing rates of OUD screening more adequately assesses the holistic needs of the adult primary care patient population, and better addresses a stigma and shame-carrying condition that is undoubtedly present in the community. Implementation of the standardized pathway starts the conversation about OUD for those who otherwise would not seek help from their primary care, allowing them to feel safe in their disclosure. Medical professionals have an opportunity to further ensure the health and safety of their patients and provide harm reduction interventions, ultimately contributing to a healthier population.
■590 ▼aSchool code: 0153.
■650 4▼aNursing
■650 4▼aHealth sciences
■650 4▼aClinical psychology
■653 ▼aOpioid use disorder
■653 ▼aScreening portion
■653 ▼aSubstance use disorder
■653 ▼aReferral pathway
■653 ▼aAdult primary care office
■690 ▼a0569
■690 ▼a0566
■690 ▼a0622
■690 ▼a0769
■71020▼aThe University of North Carolina at Chapel Hill▼bNursing.
■7730 ▼tDissertations Abstracts International▼g87-07B.
■790 ▼a0153
■791 ▼aD.N.P.
■792 ▼a2025
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17360151▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
