Respondents’ willingness to administer interventions in the ED for patients with opioid use disorder and their confidence in doing so
| Characteristic | No. of respondents | % of respondents (95% CI) | Range across physician groups, %* |
|---|---|---|---|
| Willingness† to provide the following ED interventions | |||
| Refer to detoxification program or addictions clinic (n = 644) | 617 | 95.8 (94.3–97.4) | 82.7–100.0 |
| Provide take-home naloxone kits (n = 643) | 596 | 92.7 (90.7–94.7) | 69.0–100.0 |
| Administer brief screening regarding unhealthy substance use (n = 645) | 517 | 80.2 (77.1–83.2) | 62.1–93.0 |
| Refer to needle exchange program (n = 633) | 500 | 79.0 (75.8–82.2) | 58.6–91.7 |
| Initiate ED-based BUP (n = 636) | 438 | 68.9 (65.3–72.4) | 24.1–97.6 |
| Prescribe or dispense BUP for home start (n = 627) | 341 | 54.4 (50.5–58.3) | 15.8–90.7 |
| Confidence† in providing the following ED interventions | |||
| Refer to detoxification program or addictions clinic (n = 643) | 586 | 91.1 (89.9–93.3) | 82.8–100.0 |
| Provide take-home naloxone kits (n = 643) | 602 | 93.6 (91.7–95.5) | 69.0–100.0 |
| Administer brief screening regarding unhealthy substance use (n = 640) | 519 | 81.1 (78.1–84.1) | 60.0–100.0 |
| Refer to needle exchange program (n = 630) | 463 | 73.5 (70.0–76.9) | 55.6–87.5 |
| Initiate ED-based BUP (n = 630) | 400 | 63.5 (59.7–67.3) | 31.0–97.7 |
| Prescribe or dispense BUP for home start (n = 623) | 297 | 47.7 (43.7–51.6) | 24.1–88.4 |
| Confidence† in the following aspects of ED BUP initiation | |||
| Screen patients (n = 626) | 327 | 52.2 (48.3–56.2) | 20.7–86.0 |
| Conduct discussion regarding ED initiation (n = 627) | 357 | 56.9 (53.1–60.8) | 22.2–90.7 |
| Assess withdrawal severity for appropriateness of initiation (n = 625) | 362 | 57.9 (54.0–61.8) | 21.6–93.0 |
| Administer BUP and provide ongoing prescription (n = 621) | 332 | 53.5 (49.5–57.4) | 16.7–90.7 |
| Discharge with prescription (n = 614) | 283 | 46.1 (42.1–50.0) | 13.8–93.0 |
| Arrange appropriate follow-up (n = 616) | 348 | 56.5 (52.6–60.4) | 17.6–93.0 |