Research ArticleOriginal Research

Prescribing Medications for Alcohol Use Disorder: A Qualitative Study of Primary Care Physician Decision Making

Anvita Bhardwaj, Jessica L. Sousa, Haiden A. Huskamp, Alisa B. Busch, Alene Kennedy-Hendricks, Dominic Hodgkin, Constance Horgan and Lori Uscher-Pines
The Annals of Family Medicine July 2023, 21 (4) 332-337; DOI: https://doi.org/10.1370/afm.2997

Article Figures & Data

Figures

  • Figure 1.
    Figure 1.

    Recruitment Flow Diagram

    MAUD = medications for alcohol use disorder.

    a Several participants reported they had started 1 or more patients on MAUD in the last 6 months in the screening questionnaire but reported, during the interview, that they had not prescribed MAUD in the last 6 months and therefore did not to meet inclusion criteria.

Tables

  • Table 1.

    Participant Characteristics (N = 19)

    CharacteristicNo. (%)
    Region of the US
      Northeast    5 (26)
      West    7 (37)
      South    6 (32)
      Midwest   1 (5)
    Practice setting
      Community health center   1 (5)
      Hospital-based outpatient clinic    5 (26)
      Non-hospital group practice    9 (47)
      Solo private practice   1 (5)
      Other outpatient setting    3 (16)
    Type of physician
      Internal medicine    9 (47)
      Family medicine  10 (53)
    Patient population
      Adults only    8 (42)
      Adults and children ≤18 years  11 (58)
    AUD medications prescribed in prior 6 monthsa
      Disulfiram  13 (68)
      Naltrexone  17 (90)
      Acamprosate  11 (58)

    • AUD = alcohol use disorder; US = United States.

    • ↵a Participants may be counted more than once (ie, if they prescribed multiple medications). We asked participants what medications they had prescribed for AUD within the last 6 months, and did not probe systematically for use of specific medications.

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