{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T07:22:47Z","timestamp":1777015367954,"version":"3.51.4"},"reference-count":23,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,9,5]],"date-time":"2017-09-05T00:00:00Z","timestamp":1504569600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100013873","name":"Government of Ontario","doi-asserted-by":"crossref","award":["06674"],"award-info":[{"award-number":["06674"]}],"id":[{"id":"10.13039\/100013873","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Rural Health"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Misuse of opioids has become a public health concern across North America. Rural patients have limited access to methadone maintenance treatment (MMT), an opioid addiction\u2010treatment service that could be offered by community pharmacists. The aim of this study was to identify rural community pharmacists\u2019 perceived barriers, motivations, and solutions to offering MMT to their patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>One\u2010on\u2010one, semistructured interviews were conducted with 11 community pharmacists who practice in rural southwestern Ontario. Interview transcripts were analyzed using inductive qualitative content analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>Increased workload, extended operating hours, and concerns about safety, theft, burglary, community resistance, and availability of methadone training courses were identified as pharmacist\u2010related barriers to providing MMT services. Professional satisfaction and community service were primary motivations for offering the service. Limited pharmacy staff availability exacerbated concerns about increased workload and security. Slower rural emergency\u2010response times were cited among safety concerns. Participating pharmacists felt that rural regions had fewer MMT prescribers and that rural community members had greater apprehension about addiction\u2010treatment services than those in urban communities. Pharmacists proposed that coordinating MMT service provision across multiple community pharmacies in the region could help improve access to treatment among their patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Rural community pharmacy practice has unique barriers to implementing and providing MMT services. A coordinated, multipharmacy approach may be an option to provide and expand MMT services in rural regions.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jrh.12264","type":"journal-article","created":{"date-parts":[[2017,9,5]],"date-time":"2017-09-05T11:44:06Z","timestamp":1504611846000},"page":"23-30","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Perceived Barriers and Facilitators to Providing Methadone Maintenance Treatment Among Rural Community Pharmacists in Southwestern Ontario"],"prefix":"10.1111","volume":"34","author":[{"given":"Joseph","family":"Fonseca","sequence":"first","affiliation":[{"name":"Gateway Centre of Excellence in Rural Health  Seaforth Ontario Canada"},{"name":"School of Pharmacy University of Waterloo  Waterloo Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Chang","sequence":"additional","affiliation":[{"name":"School of Pharmacy University of Waterloo  Waterloo Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Feng","family":"Chang","sequence":"additional","affiliation":[{"name":"Gateway Centre of Excellence in Rural Health  Seaforth Ontario Canada"},{"name":"School of Pharmacy University of Waterloo  Waterloo Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,9,5]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"IalomiteanuAR HamiltonHA AdlafEM MannRE.CAMH Monitor eReport: Substance Use Mental Health and Well\u2010Being among Ontario Adults 1977\u20132013.2014. Available at:https:\/\/www.camh.ca\/en\/research\/news_and_publications\/CAMHMonitor\/CAMH_Monitor_2013_eReport_Final2.pdf. Accessed February 2 2017."},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/dar.12025"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12141"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-13-483"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12129"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.3109\/10826084.2014.891615"},{"key":"e_1_2_6_8_1","unstructured":"Ontario College of Pharmacists.Methadone Maintenance Treatment (MMT) and Dispensing Policy.2014. Available at:http:\/\/www.ocpinfo.com\/regulations-standards\/policies-guidelines\/methadone2\/. 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