{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T03:59:36Z","timestamp":1781668776823,"version":"3.54.5"},"reference-count":34,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T00:00:00Z","timestamp":1771804800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T00:00:00Z","timestamp":1771804800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000058","name":"Substance Abuse and Mental Health Services Administration","doi-asserted-by":"publisher","award":["1H79TI085588\u201001"],"award-info":[{"award-number":["1H79TI085588\u201001"]}],"id":[{"id":"10.13039\/100000058","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["American J Addict"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Objectives<\/jats:title>\n                    <jats:p>Although buprenorphine is effective and approved for treating opioid use disorder (OUD), it remains underutilized in primary care settings. This study's objective was to explore what primary care teams need to overcome barriers in treating OUD, and to assess whether those needs change after receiving education on OUD treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The American Academy of Family Physicians hosted a 12\u2010month Project ECHO\u00ae educational series on OUD for primary care teams. Thematic analysis was conducted on participant responses pre\u2010 and post\u2010series to the survey item \u201cPlease list your most pressing needs related to OUD\u201d (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200992).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Ninety\u2010two participants from 25 primary care practices from the US and Canada responded to the pressing needs item across both surveys. The most prevalent need reported at baseline was Education and Training, which became second to Health System Resources at endpoint. Respondents cited organizational protocols for OUD treatment as a pressing need among other Health System Resources such as support for reimbursement. Needs relating to transportation and housing; engaging patients to start and continue in OUD treatment; and addressing stigma within the community and health system were indicative of overlapping barriers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion and Conclusions<\/jats:title>\n                    <jats:p>Responses from primary care teams echo previous studies on barriers to OUD treatment and provide specific, actionable insight to addressing these barriers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Scientific Significance<\/jats:title>\n                    <jats:p>Actionable insights, for example, implementing health system\u2010level OUD protocols and guidelines and promoting availability of OUD treatment and education, are ways that primary care teams could increase treatment of patients with OUD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajad.70152","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T11:03:13Z","timestamp":1772967793000},"page":"525-533","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Primary care's most pressing needs to address opioid use disorder: A qualitative study"],"prefix":"10.1111","volume":"35","author":[{"given":"Elise A.","family":"Robertson","sequence":"first","affiliation":[{"name":"DARTNET Institute Aurora Colorado USA"},{"name":"American Academy of Family Physicians Leawood Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaitlyn K.","family":"Frick","sequence":"additional","affiliation":[{"name":"Robert Graham Center for Policy Studies in Family Medicine and Primary Care Washington District of Columbia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cory B.","family":"Lutgen","sequence":"additional","affiliation":[{"name":"DARTNET Institute Aurora Colorado USA"},{"name":"American Academy of Family Physicians Leawood Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6989-2428","authenticated-orcid":false,"given":"Elisabeth F.","family":"Callen","sequence":"additional","affiliation":[{"name":"DARTNET Institute Aurora Colorado USA"},{"name":"American Academy of Family Physicians Leawood Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1252-5544","authenticated-orcid":false,"given":"Tarin L.","family":"Clay","sequence":"additional","affiliation":[{"name":"DARTNET Institute Aurora Colorado USA"},{"name":"American Academy of Family Physicians Leawood Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriela Gaona","family":"Villarreal","sequence":"additional","affiliation":[{"name":"DARTNET Institute Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn","family":"Cates\u2010Wessel","sequence":"additional","affiliation":[{"name":"American Academy of Addiction Psychiatry East Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua A.","family":"Smith","sequence":"additional","affiliation":[{"name":"Robert Graham Center for Policy Studies in Family Medicine and Primary Care Washington District of Columbia USA"},{"name":"Department of Family Medicine Georgetown University Washington District of Columbia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa K.","family":"Filippi","sequence":"additional","affiliation":[{"name":"American Academy of Family Physicians Leawood Kansas USA"},{"name":"Robert Graham Center for Policy Studies in Family Medicine and Primary Care Washington District of Columbia USA"},{"name":"Department of Family Medicine Georgetown University Washington District of Columbia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,23]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dadr.2023.100133"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/08897077231179576"},{"key":"e_1_2_8_4_1","unstructured":"Waiver Elimination (MAT Act). Substance Abuse and Mental Health Services Administration. Updated 11\/06\/2024. Accessed 5\/23\/25 2025.https:\/\/www.samhsa.gov\/substance-use\/treatment\/statutes-regulations-guidelines\/mat-act#:~:text=Section%201262%20of%20the%20Consolidated opioid%20use%20disorder%20(OUD)"},{"key":"e_1_2_8_5_1","article-title":"Improving access to evidence\u2010based medical treatment for opioid use disorder: strategies to address key barriers within the treatment system","volume":"2020","author":"Madras BK","year":"2020","journal-title":"NAM Perspect"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/09687637.2025.2456255"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7325a1"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.25999"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajad.70050"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/08897077231174675"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-020-01149-0"},{"key":"e_1_2_8_12_1","article-title":"Analysis of barriers to adoption of buprenorphine maintenance therapy by family physicians","volume":"15","author":"Deflavio J","year":"2015","journal-title":"Rural Remote Health"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1370\/afm.1595"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.12419"},{"key":"e_1_2_8_15_1","unstructured":"Microsoft Excel.2018.https:\/\/office.microsoft.com\/excel"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2021.108811"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2021.106765"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13722-022-00321-6"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/08897077.2018.1449047"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15372"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-021-07102-y"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/29767342231224978"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.4300\/JGME-D-23-00317.1"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.14436"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12404"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.7326\/M16-2149"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2025.2126"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1080\/08897077.2021.1932698"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0306931"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13722-018-0124-2"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1080\/10810730.2023.2262948"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2024.307845"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2023.109915"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40429-023-00489-0"}],"container-title":["The American Journal on Addictions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajad.70152","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ajad.70152","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajad.70152","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T03:45:38Z","timestamp":1781667938000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ajad.70152"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,23]]},"references-count":34,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1111\/ajad.70152"],"URL":"https:\/\/doi.org\/10.1111\/ajad.70152","archive":["Portico"],"relation":{},"ISSN":["1055-0496","1521-0391"],"issn-type":[{"value":"1055-0496","type":"print"},{"value":"1521-0391","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,23]]},"assertion":[{"value":"2025-10-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}