The increased number and geographic distribution of physicians obtaining waivers to prescribe buprenorphine has widened potential access to effective treatment for those with addiction to heroin or prescription painkillers.
Using tools that help physicians decide whether to use expensive imaging studies such as MRI scans can help reduce the ordering of unnecessary tests, but implementation of the tools in real-world settings has many challenges.
The authors developed an updated and expanded set of buprenorphine treatment guidelines; this additional guidance may increase credentialed physicians' comfort with prescribing buprenorphine to patients with opioid use disorders.
A substantial proportion of advanced imaging studies ordered by emergency physicians may be medically unnecessary. According to a broad survey of emergency medicine professionals, fear of missing a low-probability diagnosis and fear of litigation are perceived as two key contributing factors.
Psychiatrists exposed to strict conflict of interest policies prescribed heavily promoted antipsychotics at rates similar to academic psychiatrists and nonacademic psychiatrists exposed to less strict or no policies.
This report seeks to inform the further development of medical education and training for primary care in Germany. It concludes with a presentation of policy options that arise from comparison with experiences in England, France and the Netherlands.
This commentary argues that it is timely to reengage physicians in the discussion of international comparative data about health care and to ask why the United States is so provincial in designing the systems by which care is delivered.