Table 1.
Total n (%) | Never prescribed n (%) | Prescribed, not past 12 months n (%) | Prescribed, past 12 months n (%) | p-value* | |
---|---|---|---|---|---|
Overall | 10,238 | 2042 (20.0) | 777 (7.6) | 7419 (72.4) | |
Gender | |||||
Female | 5484 (54.1) | 1216 (60.1) | 393 (51.2) | 3875 (52.8) | <0.001 |
Male | 4648 (45.9) | 809 (39.9) | 374 (48.8) | 3465 (47.2) | |
Age | |||||
25−34 | 1208 (11.9) | 266 (13.1) | 54 (7.0) | 888 (12.1) | <0.001 |
35−44 | 2592 (25.5) | 538 (26.5) | 147 (19.1) | 1907 (25.9) | |
45−54 | 2413 (23.8) | 499 (24.6) | 173 (22.5) | 1741 (23.7) | |
55−64 | 2329 (23.0) | 437 (21.5) | 208 (27.1) | 1684 (22.9) | |
65 or older | 1618 (15.9) | 289 (14.2) | 187 (24.3) | 1142 (15.5) | |
U.S. Census Region | |||||
Northeast | 2652 (26.0) | 479 (23.6) | 200 (25.9) | 1973 (26.7) | <0.001 |
Midwest | 1875 (18.4) | 413 (20.3) | 116 (15.1) | 1346 (18.2) | |
South | 2774 (27.2) | 523 (25.7) | 211 (27.4) | 2040 (27.6) | |
West | 2853 (28.0) | 596 (29.3) | 235 (30.5) | 2.022 (27.3) | |
U.S. Territory | 49 (0.5) | 21 (1.0) | 9 (1.2) | 19 (0.3) | |
Rural-Urban Status of Practice Location | |||||
Urban | 4837 (47.7) | 974 (48.5) | 376 (49.5) | 3487 (47.2) | 0.007 |
Suburban | 3093 (30.5) | 609 (30.3) | 255 (33.6) | 2229 (30.2) | |
Rural | 2221 (21.9) | 425 (21.2) | 129 (17.0) | 1667 (22.6) | |
Type of Provider | <0.001 | ||||
Physician (MD/DO) | 6996 (68.4) | 1364 (67.0) | 666 (85.7) | 4966 (67.0) | |
Nurse Practitioner or other nursing-related provider | 2588 (25.3) | 554 (27.2) | 93 (12.0) | 1941 (26.2) | |
Physician Assistant | 643 (6.3) | 119 (5.8) | 18 (2.3) | 506 (6.8) | |
Primary Practice Specialty | <0.001 | ||||
Primary Care | 4991 (49.1) | 922 (45.4) | 281 (36.7) | 3788 (51.4) | |
Addiction Medicine | 439 (4.3) | 14 (0.7) | 10 (1.3) | 415 (5.6) | |
Psychiatry | 2711 (26.7) | 533 (26.2) | 332 (43.4) | 1846 (25.0) | |
Pediatrician | 107 (1.1) | 45 (2.2) | 10 (.3) | 52 (0.7) | |
Obstetrician/Gynecologist | 265 (2.6) | 75 (3.7) | 19 (2.5) | 171 (2.3) | |
Emergency Medicine | 731 (7.2) | 202 (10.0) | 31 (4.1) | 498 (6.8) | |
Pain Medicine/Anesthesiology | 465 (4.6) | 95 (4.7) | 37 (4.8) | 333 (4.5) | |
Infectious Disease | 79 (0.8) | 22 (1.1) | 6 (0.8) | 51 (0.7) | |
Other | 380 (3.7) | 123 (6.1) | 39 (5.1) | 218 (3.0) | |
Addiction Medicine Certification | |||||
Addiction Psychiatry (ABMS) | 401 (3.9) | 37 (1.8) | 40 (5.2) | 324 (4.4) | <0.001 |
Addiction Medicine (ASAM/ABPM) | 1841 (18.0) | 187 (9.2) | 115 (14.8) | 1539 (20.7) | <0.001 |
Addiction Medicine (AOA) | 170 (1.8) | 30 (1.5) | 9 (1.2) | 140 (1.9) | 0.189 |
None | 7944 (77.6) | 1799 (88.1) | 620 (79.8) | 5525 (75.5) | <0.001 |
Years in Practice | |||||
Less than 5 years | 2421 (23.7) | 526 (25.9) | 92 (11.9) | 1803 (24.4) | <0.001 |
5−10 years | 1988 (19.5) | 393 (19.3) | 123 (15.9) | 1472 (19.9) | |
11−15 years | 1172 (11.5) | 246 (12.1) | 103 (13.3) | 823 (11.1) | |
16−19 years | 817 (8.0) | 155 (7.6) | 66 (8.5) | 596 (8.1) | |
20 years or more | 3814 (37.4) | 715 (35.1) | 390 (50.4) | 2709 (36.6) | |
Primary Practice Setting | |||||
Office-based solo practice | 1531 (15.1) | 217 (10.8) | 139 (18.3) | 1175 (15.9) | <0.001 |
Office-based group practice | 2853 (28.1) | 537 (26.6) | 183 (24.1) | 2133 (28.9) | |
Specialty substance use treatment facility | 524 (5.2) | 28 (1.4) | 20 (2.6) | 476 (6.5) | |
Opioid Treatment Program | 577 (5.7) | 27 (1.3) | 22 (2.9) | 528 (7.2) | |
Community clinic (e.g., FQHC, RHC, CCBHC) | 1816 (17.9) | 359 (17.8) | 106 (14.0) | 1351 (18.3) | |
Emergency Department | 679 (6.7) | 200 (9.9) | 38 (5.0) | 441 (6.0) | |
Urgent Care | 127 (1.3) | 47 (2.3) | 12 (1.6) | 68 (0.9) | |
Criminal Justice setting | 281 (2.8) | 67 (3.3) | 31 (4.1) | 183 (2.5) | |
In-patient/Hospital setting | 1058 (10.4) | 314 (15.6) | 103 (13.6) | 641 (8.7) | |
Veterans Affairs/Department of Defense/Indian Health Service | 394 (3.9) | 87 (4.3) | 29 (3.8) | 278 (3.8) | |
Other (e.g., school-based clinic, LTCF, public health) | 321 (3.2) | 135 (6.7) | 76 (10.0) | 110 (1.5) | |
Type of Insurance Accepted | |||||
Medicaid | 7838 (76.6) | 1573 (77.0) | 484 (62.3) | 5781 (77.9) | <0.001 |
Medicare | 7968 (77.8) | 1574 (77.1) | 509 (65.5) | 5.885 (79.3) | <0.001 |
Private Insurance | 8133 (79.4) | 1582 (77.5) | 521 (67.1) | 6030 (81.3) | <0.001 |
Other | 1492 (14.6) | 287 (14.1) | 120 (15.4) | 1085 (14.6) | 0.628 |
Do not accept any type of Insurance | 1.095 (10.7) | 231 (11.3) | 141 (18.2) | 723 (9.8) | <0.001 |
Granted permission to be listed on SAMHSA Buprenorphine Treatment Locator | |||||
No | 3482 (35.0) | 1153 (59.0) | 404 (54.1) | 1925 (26.6) | <0.001 |
Yes | 6463 (65.0) | 801 (41.0) | 343 (45.9) | 5319 (73.4) | |
DATA 2000 Patient Limit | |||||
30 | 4377 (44.9) | 1514 (83.8) | 344 (51.0) | 2519 (34.6) | <0.001 |
100 | 3543 (36.3) | 266 (14.7) | 258 (38.3) | 3019 (41.5) | |
275 | 1835 (18.8) | 26 (1.4) | 72 (10.7) | 1737 (23.9) | |
Awareness of DEA exemption of in-person physical examination prior to prescribing buprenorphine for first time | |||||
No | 3181 (31.2) | 1088 (53.9) | 371 (48.0) | 1722 (23.3) | <0.001 |
Yes | 7006 (68.8) | 929 (46.1) | 402 (52.0) | 5675 (76.7) |
Source: CDC-NIDA Survey of DATA 2000 Clinicians, June-August 2020.
ABMS = American Board of Medical Specialties; ASAM = American Society of Addiction Medicine; ABPM = American Board of Preventive Medicine; AOA = American Osteopathic Association.
FQHC = Federally Qualified Health Center, RHC = Rural Health Center, CCBHC = Certified Community Behavioral Health Clinic, LTCF = Long-term Care Facility.
p value threshold for statistical significance set at 0.0025 based on Bonferroni correction.