Safe Prescription of Opioids in Primary Care
Opioid-Related Disorders, Narcotic-Related Disorders, Addiction
About this trial
This is an interventional health services research trial for Opioid-Related Disorders focused on measuring Early Intervention, Educational, Prescription Drugs, Opioids, Primary Health Care
Eligibility Criteria
Eligibility criteria apply to primary health care centers.
Inclusion Criteria:
- Employs at least two full-time physicians
- Has at least 3000 listed patients
- Has a regional care agreement (contract)
- Connected to the regional quality register (Stockholm County)
Exclusion Criteria:
- In operation for less than 12 months
Sites / Locations
- Akademiskt Primärvårdscentrum, Solnavägen 1DRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Active Comparator
No Intervention
Educational intervention with prescription feedback
Written information on guidelines
Standard care
Healthcare personnel will participate in a brief educational intervention with information regarding treatment guidelines, recommendations, and risks of prescribing opioids. The presentation will include benchmarking on clinic opioid prescription patterns compared to other primary health centers, followed by targeted feedback on prescription patterns over the subsequent 12 months. Standardized materials will be provided, including a patient-provider agreement, outline of a patient treatment plan, and recommendations of how shared routines at the center can be improved.
The manager at each PHC center in the active control group will receive written information on treatment guidelines for pain management. These centers will not receive the intervention, consisting of the onsite educational visit and targeted prescription feedback.
The passive control group will consist of PHC centers that met the eligibility criteria for the study but did not actively participate in the study. Care as usual will proceed at the centers. Prescription data will be gathered directly from regional registers and databases; thus there will be no need to communicate directly with the centers. This arm will be used only if the General Data Protection Regulation continues to allow access to regional registers and databases in primary health care.