Psychosocial Treatment Use and Perceptions Among Buprenorphine Prescribers Across Locations of Practice
| Large Metropolitan Areas | Small Metropolitan Areas | Nonmetropolitan Areas | N | χ2 or F | P Value | |
|---|---|---|---|---|---|---|
| Patients in past year who received counseling from the respondent, mean % (SD) | 53.8 (43.1) | 52.6 (45.0) | 54.8 (45.1) | 1,119 | 0.14 | .87 |
| Patients in past year who received counseling from clinicians in the respondent’s practice, mean % (SD) | 35.1 (40.0)a | 42.2 (41.8) | 40.5 (44.2) | 1,108 | 3.63 | .03 |
| Patients in past year who received counseling | 39.0 (32.3)b | 35.9 (31.7)c | 46.9 (36.3) | 1,096 | 5.20 | .006 |
| from clinicians outside of respondent’s practice, mean % (SD) | ||||||
| Patients in past year who received no psychosocial counseling, mean % (SD) | 13.8 (21.1) | 10.8 (19.1) | 10.0 (17.0) | 1,079 | 3.60 | .03 |
| Patients in past year referred to more intensive level of care, mean % (SD) | 17.8 (20.0) | 15.9 (19.8) | 14.2 (15.3) | 1,136 | 2.38 | .09 |
| Setting has resources to provide medical services for patients with complex medical problems, mean (SD)d | 3.3 (1.5)a | 3.6 (1.4) | 3.6 (1.4) | 1,148 | 3.93 | .02 |
| Setting has resources to provide psychiatric services for patients with complex psychiatric problems (eg, serious/persistent mental illness), mean (SD)d | 3.3 (1.5)b | 3.2 (1.5) | 2.9 (1.4) | 1,148 | 4.88 | .008 |
| Setting has resources to provide social services for patients with complex social problems (eg, unstable housing, criminal justice involvement, unemployment), mean (SD)d | 2.7 (1.3) | 2.7 (1.3) | 2.7 (1.3) | 1,142 | 0.19 | .82 |
Note: Comparisons were made using χ2 tests or 1-way analysis of variance (F statistic). Not all prescribers responded to all items; the N column represents the number of prescribers with valid data for each item.
↵a Significant difference with Bonferroni correction between physicians in large metropolitan areas and small metropolitan areas.
↵b Significant difference with Bonferroni correction between physicians in large metropolitan areas and nonmetropolitan areas.
↵c Significant difference with Bonferroni correction between physicians in small metropolitan areas and nonmetropolitan areas.
↵d Likert scale ranging from 1 = strongly disagree to 5 = strongly agree.