Abstract：
UNASSIGNED: Opioid misuse is a significant public health crisis. The aim sought to identify potential gaps in opioid care in primary care practices.
UNASSIGNED: American Academy of Family Physicians (AAFP) offered a monthly online educational series to seven U.S. practices. Practices were asked to complete up to 50 chart reviews for visits during two periods: February-April, 2019, and February-April, 2022. Each chart had to have an ICD-10 diagnosis of opioid misuse, opioid dependence, or opioid use. Chart reviews consisted of 14 questions derived from an American Academy of Addiction Psychiatry (AAAP) Performance in Practice activity, and then, scored based on practices\' responses. Descriptive statistics and binary logistic and multinomial regressions were used.
UNASSIGNED: Both periods had 173 chart reviews (total: 346) from the six practices. Most chart reviews were for patients with a diagnosis of opioid dependence (2019: 90.2%; 2022: 83.2%). Three questions for assessing OUD treatment behaviors had high levels of documentation across both time periods (>85%): other drug use, treatment readiness, and treatment discussion.
UNASSIGNED: Results show a gap in the treatment of patients with OUD in primary care across several clinical practice recommendations.
UNASSIGNED: Expanding OUD treatment integration to primary care remains the most promising effort to combat the opioid crisis.
UNASSIGNED: American Academy of Family Physicians (AAFP) offered a monthly online educational series to seven U.S. practices. Practices were asked to complete up to 50 chart reviews for visits during two periods: February-April, 2019, and February-April, 2022. Each chart had to have an ICD-10 diagnosis of opioid misuse, opioid dependence, or opioid use. Chart reviews consisted of 14 questions derived from an American Academy of Addiction Psychiatry (AAAP) Performance in Practice activity, and then, scored based on practices\' responses. Descriptive statistics and binary logistic and multinomial regressions were used.
UNASSIGNED: Both periods had 173 chart reviews (total: 346) from the six practices. Most chart reviews were for patients with a diagnosis of opioid dependence (2019: 90.2%; 2022: 83.2%). Three questions for assessing OUD treatment behaviors had high levels of documentation across both time periods (>85%): other drug use, treatment readiness, and treatment discussion.
UNASSIGNED: Results show a gap in the treatment of patients with OUD in primary care across several clinical practice recommendations.
UNASSIGNED: Expanding OUD treatment integration to primary care remains the most promising effort to combat the opioid crisis.
摘要：
■阿片类药物滥用是一个重大的公共卫生危机。目的是确定初级保健实践中阿片类药物护理的潜在差距。
■美国家庭医师学会（AAFP）每月为7个美国实践提供在线教育系列。在2月至4月两个期间，要求实践完成最多50次访问图表审查，2019年2月至4月,2022年。每个图表都必须有ICD-10阿片类药物滥用的诊断，阿片类药物依赖，或使用阿片类药物。图表评论由14个问题组成，这些问题来自美国成瘾精神病学学会（AAAP）实践活动中的表现，然后,根据实践回答评分。使用描述性统计以及二元逻辑和多项回归。
■这两个时期都有来自六个实践的173个图表评论（总计：346个）。大多数图表评论是针对诊断为阿片类药物依赖的患者（2019年：90.2%；2022年：83.2%）。评估OUD治疗行为的三个问题在两个时间段（>85％）都有高水平的记录：其他药物使用，治疗准备,和治疗讨论。
■结果显示，OUD患者在初级护理中的治疗在几个临床实践建议中存在差距。
■将OUD治疗整合到初级保健仍然是对抗阿片类药物危机的最有希望的努力。
■美国家庭医师学会（AAFP）每月为7个美国实践提供在线教育系列。在2月至4月两个期间，要求实践完成最多50次访问图表审查，2019年2月至4月,2022年。每个图表都必须有ICD-10阿片类药物滥用的诊断，阿片类药物依赖，或使用阿片类药物。图表评论由14个问题组成，这些问题来自美国成瘾精神病学学会（AAAP）实践活动中的表现，然后,根据实践回答评分。使用描述性统计以及二元逻辑和多项回归。
■这两个时期都有来自六个实践的173个图表评论（总计：346个）。大多数图表评论是针对诊断为阿片类药物依赖的患者（2019年：90.2%；2022年：83.2%）。评估OUD治疗行为的三个问题在两个时间段（>85％）都有高水平的记录：其他药物使用，治疗准备,和治疗讨论。
■结果显示，OUD患者在初级护理中的治疗在几个临床实践建议中存在差距。
■将OUD治疗整合到初级保健仍然是对抗阿片类药物危机的最有希望的努力。
