{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T22:36:51Z","timestamp":1762900611847},"reference-count":33,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,7,2]],"date-time":"2024-07-02T00:00:00Z","timestamp":1719878400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,7,2]],"date-time":"2024-07-02T00:00:00Z","timestamp":1719878400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Health Serv Res"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>While brief duration primary care appointments may improve access, they also limit the time clinicians spend evaluating painful conditions. This study aimed to evaluate whether 15-minute primary care appointments resulted in higher rates of opioid prescribing when compared to \u2265\u200930-minute appointments.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>We performed a retrospective cohort study using electronic health record (EHR), pharmacy, and administrative scheduling data from five primary care practices in Minnesota. Adult patients seen for acute Evaluation &amp; Management visits between 10\/1\/2015 and 9\/30\/2017 scheduled for 15-minute appointments were propensity score matched to those scheduled for \u2265\u200930-minutes. Sub-groups were analyzed to include patients with acute and chronic pain conditions and prior opioid exposure. Multivariate logistic regression was performed to examine the effects of appointment length on the likelihood of an opioid being prescribed, adjusting for covariates including ethnicity, race, sex, marital status, and prior ED visits and hospitalizations for all conditions.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>We identified 45,471 eligible acute primary care visits during the study period with 2.7% (<jats:italic>N<\/jats:italic>\u2009=\u20091233) of the visits scheduled for 15\u00a0min and 98.2% (<jats:italic>N<\/jats:italic>\u2009=\u200944,238) scheduled for 30\u00a0min or longer. Rates of opioid prescribing were significantly lower for opioid naive patients with acute pain scheduled in 15-minute appointments when compared to appointments of 30\u00a0min of longer (OR 0.55, 95% CI 0.35\u20130.84). There were no significant differences in opioid prescribing among other sub-groups.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>For selected indications and for selected patients, shorter duration appointments may not result in greater rates of opioid prescribing for common painful conditions.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12913-024-11215-5","type":"journal-article","created":{"date-parts":[[2024,7,2]],"date-time":"2024-07-02T13:02:28Z","timestamp":1719925348000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The association between primary care appointment lengths and opioid prescribing for common pain conditions"],"prefix":"10.1186","volume":"24","author":[{"suffix":"III","given":"John C.","family":"Matulis","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristi","family":"Swanson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rozalina","family":"McCoy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,7,2]]},"reference":[{"issue":"5152","key":"11215_CR1","first-page":"1419","volume":"67","author":"L Scholl","year":"2019","unstructured":"Scholl L, Seth P, Kariisa M, Wilson N, Baldwin G. 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This study was approved by the Mayo Clinic Internal Review Board (19-001641) and is reported in adherence to STROBE reporting guidelines.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not Applicable.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"In the last 36 months, Dr. McCoy has received support from the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) of the National Institute of Health (NIH), National Institute on Aging (NIA) of the NIH, Patient Centered Outcomes Research Institute (PCORI), National Center for Advancing Translational Sciences (NCATS), and the American Diabetes Association. She also serves as a consultant to Emmi\u00ae (Wolters Kluwer) on developing patient education materials related to diabetes and to Yale-New Haven Health System\u2019s Center for Outcomes Research and Evaluation on developing quality measures related to diabetes.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"776"}}