A
60.0 %
FIGURE 1 Provider Willingness to Expand Practice in MAT
50.0 % 48.0 %
45.8 %
30.0 % |
|
|
|
26.0 % |
|
|
20.0 %
10.0 %
0.0 %
|
Not Willing |
8.4 %
10.0 %
Unsure
|
16.9 %
2.0 %
Probably Willing
|
19.3 %
Definitely Willing
|
14.0 %
9.6 %
Not Relevant
|
Primary Care Specialty Care ( non-primary ) |
B |
120.0 % |
Provider Attitudes on MAT |
60.0 % |
|
|
|
40.0 % |
|
|
|
|
20.0 %
0.0 %
|
3.4 % 3.4 %
Patients with OUD benefit from MAT
|
0.0 %
21.4 %
I feel comfortable treating OUD with MAT
|
3.4 %
There is a need for MAT in your area
|
Strongly Agree / Agree Neither / Neutral
Strongly Disagree / Disagree
A ) Provider attitudes on MAT ( from providers who are currently providing MAT services ) were determined by asking participants to respond to the following statements on a Likert scale ( Strongly Agree , Agree , Neither / Neutral , Disagree , Strongly Disagree ): 1 ) Patients with OUD benefit from MAT , 2 ) I feel comfortable treating OUD with MAT , and 3 ) There is a need for MAT in your area ( n = 29 ).
B ) All participants were asked , whether or not you currently provide treatment , would you be willing to expand your practice to treat ( more ) patients in the following areas ? – Medication-Assisted Treatment . These answers were recorded on a Likert scale ( Definitely Willing , Probably Willings , Unsure , Not Willing , Not Relevant ). Answers shown were clustered for Primary Care ( n = 50 ) and Specialist ( Non-Primary ; n = 83 ).
access treatment for OUD , particularly buprenorphine . 10
• In 2017 , the WV Department of Health and Human Resources implemented an effort to develop an Opioid Response Plan for the state of WV through public engagement and consultation with regional and national experts . 11
• WV Medicaid received approval for an 1115 ( a ) Waiver for SUD in 2017 and began providing coverage for a wide range of services related to the issue of SUD , including expanded coverage for MAT services .
• In 2018 , the WV Opioid Reduction Act was passed to limit the number of opioids prescribed . Safe and Effective
Management of Pain guidelines provide a tool for physicians to offer patients non-opioid alternatives for pain management . { Saloner , 2019 # 50240 ; HHS , 2019 # 50242 }
Despite these policy changes , only 23 % of adult populations ages 19-64 years were covered by Medicaid in 2018 , and WV reportedly ranked in the bottom 25 % in
West Virginia Medical Journal • September 2022 • 31