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Primary Care Clinicians' Attitudes on Digital Care Collaborative Management for Substance Use Disorders
Journal article   Open access   Peer reviewed

Primary Care Clinicians' Attitudes on Digital Care Collaborative Management for Substance Use Disorders

Benjamin Lai, Nicholas L Bormann, Stephan Arndt, Jamie Smith, Margaret Paul, Cynthia Stoppel, Kelsey Tuen, Danielle Cox, Scott Breitinger, Mark Williams, …
Inquiry (Chicago), Vol.63, pp.1-6
01/2026
DOI: 10.1177/00469580261440482
PMID: 41954165
url
https://doi.org/10.1177/00469580261440482View
Published (Version of record) Open Access

Abstract

Substance use disorders (SUD) remain a significant source of morbidity and mortality in the United States, and access to treatment continues to be inadequate. Primary Care Clinicians (PCCs) are well-positioned to provide long-term SUD care for patients. However, multiple provider-level barriers exist. Collaborative Care Management (CoCM) has proven successful in supporting PCCs in treating psychiatric conditions, such as depression. Our group proposes an addiction-focused modified CoCM that leverages telemedicine and an electronic platform (Senyo) into primary care. This study assesses PCCs' attitudes toward this proposed model and their likelihood (with support) of prescribing medications for alcohol and opioid use disorder. To achieve this, an anonymized and confidential electronic survey was deployed to all 489 of our institutions' PCCs. Eighty-five completed the survey (17.4% response); the majority (94%) agreed that digital CoCM for SUD will be helpful for their practice, and 85% expressed agreement that such a model will increase their confidence and likelihood to prescribe anti-craving medications. Additionally, we found that PCCs' comfort level in addressing SUD with patients is not associated with years in practice, clinician type (attending physicians, resident/fellow physicians, nurse practitioner or physician assistant), or their perception of currently available SUD treatment resources. Future work to evaluate practice changes, including rates of anti-craving medication prescribing and SUD-treatment outcomes after implementation of our digital CoCM will prove useful in determining the effectiveness of this model.
 Telemedicine United States Adult Attitude of Health Personnel Cooperative Behavior Female Humans Male Middle Aged Physicians, Primary Care - psychology Primary Health Care - organization & administration Substance-Related Disorders - therapy Surveys and Questionnaires

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