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Peer-Reviewed Publication
Addict Sci Clin Pract2025;20(1):22.March 7, 2025Journal Article

"It's within your own power": shared decision-making to support transitions to buprenorphine.

Beth E Williams1, Stephen A Martin2,3, Kim A Hoffman4, Mason D Andrus5, Elona Dellabough-Gormley6, Bradley M Buchheit4,7
1Department of Medicine, Division of General Internal Medicine & Geriatrics, Section of Addiction Medicine, Oregon Health and Science University, 3181 SW Sam Jackson Park Rd, Portland, OR, 97239, USA. willbeth@ohsu.edu.
2Department of Family Medicine and Community Health, UMass Chan School of Medicine, 55 N Lake Ave, Worcester, MA, 01655, USA.
3Boulder Care, 111 SW Naito Parkway, Suite 200, Portland, OR, 97204, USA.
4Department of Medicine, Division of General Internal Medicine & Geriatrics, Section of Addiction Medicine, Oregon Health and Science University, 3181 SW Sam Jackson Park Rd, Portland, OR, 97239, USA.
5Department of Behavioral Neuroscience, Oregon Health and Science University, 3181 SW Sam Jackson Park Rd, Portland, OR, 97239, USA.
6School of Nursing, Oregon Health and Science University, 3076, 3455 SW US Veterans Hospital Rd, Portland, OR, 97239, USA.
7Department of Family Medicine, Oregon Health and Science University, 3181 SW Sam Jackson Park Rd, Portland, OR, 97239, USA.
PubMed PMC DOI PDF

Abstract

INTRODUCTION: Buprenorphine is an effective first-line treatment for opioid use disorder (OUD) that substantially reduces morbidity and mortality. For patients using illicitly-manufactured fentanyl (IMF), however, transitioning to buprenorphine can be challenging. Evidence is lacking for how best to make this transition in the outpatient setting. A shared decision-making (SDM) approach has been fo…

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