{"pk":15339,"title":"Improving Uptake of Emergency Department-initiated Buprenorphine: Barriers and Solutions","subtitle":null,"abstract":"Emergency departments (ED) are increasingly providing buprenorphine to persons with opioid use disorder. Buprenorphine programs in the ED have strong support from public health leaders and emergency medicine specialty societies and have proven to be clinically effective, cost effective, and feasible. Even so, few ED buprenorphine programs currently exist. Given this imbalance between evidence-based practice and current practice, proven behavior change approaches can be used to guide local efforts to expand ED buprenorphine capacity. In this paper, we use the theory of planned behavior to identify and address the 1) clinician factors, 2) institutional factors, and 3) external factors surrounding ED buprenorphine implementation. By doing so, we seek to provide actionable and pragmatic recommendations to increase ED buprenorphine availability across different practice settings.  [West J Emerg Med. 2022;23(4)461–467.]","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"buprenorphine"},{"word":"emergency department"},{"word":"Behavioral Change Theory"},{"word":"Implementation Science"}],"section":"Behavioral Health","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7394f9d9","frozenauthors":[{"first_name":"Timothy","middle_name":"D.","last_name":"Kelly","name_suffix":"","institution":"Indiana University Emergency Medicine Residency, Indianapolis, Indiana","department":"None"},{"first_name":"Kathryn","middle_name":"F.","last_name":"Hawk","name_suffix":"","institution":"Yale School of Medicine, Department of Emergency Medicine, New Haven, Connecticut","department":"None"},{"first_name":"Elizabeth","middle_name":"A.","last_name":"Samuels","name_suffix":"","institution":"Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island","department":"None"},{"first_name":"Reuben","middle_name":"J.","last_name":"Strayer","name_suffix":"","institution":"Maimonides Medical Center, Department of Emergency Medicine, Brooklyn, New York","department":"None"},{"first_name":"Jason","middle_name":"A.","last_name":"Hoppe","name_suffix":"","institution":"University of Colorado School of Medicine, Department of Emergency Medicine, Aurora, Colorado","department":"None"}],"date_submitted":"2021-05-09T21:08:02Z","date_accepted":"2021-05-09T21:08:02Z","date_published":"2022-07-11T07:00:00Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/15339/galley/7767/download/"}]}