Table 3 Variations in the perceived barriers for providing buprenorphine between DATA-waivered providers and non-waivered providers
Perceived barriersa | Waivered | Non-waivered | Mann–Whitney | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
Disagree n (%) | Neither n (%) | Agree n (%) | Mdn | Disagree n (%) | Neither n (%) | Agree n (%) | Mdn | r | U | Pb | |
Concerns about diversion | 20 (24) | 49 (60) | 13 (16) | 2 | 16 (22) | 43 (59) | 14 (19) | 2 | 0.05 | 2856 | 0.58 |
Lack of patient interest | 36 (44) | 40 (49) | 6 (7) | 2 | 30 (40) | 39 (53) | 5 (7) | 2 | 0.03 | 2949 | 0.74 |
Law enforcement oversight | 46 (57) | 31 (39) | 3 (4) | 1 | 33 (48) | 27 (40) | 8 (12) | 2 | 0.12 | 2393 | 0.16 |
Professional licensing board oversight | 48 (57) | 28 (33) | 8 (10) | 1 | 28 (42) | 31 (46) | 8 (12) | 2 | 0.14 | 2394 | 0.08 |
Treatment patients would unfavorably affect my patient mix | 57 (73) | 18 (23) | 3 (4) | 1 | 39 (56) | 26 (37) | 5 (7) | 1 | 0.19 | 2250 | 0.02 |
Co-workers do not support provision of buprenorphine treatment in my practice | 58 (73) | 13 (16) | 9 (11) | 1 | 35 (55) | 20 (32) | 8 (13) | 1 | 0.16 | 2131 | 0.06 |
Managers/administrators do not support provision of buprenorphine treatment in my practice | 60 (73) | 16 (19) | 7 (8) | 1 | 38 (61) | 13 (21) | 11 (18) | 1 | 0.13 | 2248 | 0.12 |
Reimbursement rates | 38 (48) | 29 (36) | 13 (16) | 2 | 28 (48) | 25 (43) | 5 (9) | 2 | 0.04 | 2428 | 0.61 |
Insurance prior authorization requirements | 18 (23) | 38 (48) | 23 (29) | 2 | 12 (20) | 37 (63) | 10 (17) | 2 | 0.07 | 2509 | 0.40 |
Insufficient training | 39 (49) | 35 (44) | 6 (7) | 2 | 20 (30) | 28 (43) | 18 (27) | 2 | 0.25 | 1922 | 0.002 |
Insufficient time | 34 (42) | 37 (46) | 10 (12) | 2 | 14 (21) | 35 (52) | 18 (27) | 2 | 0.25 | 1984 | 0.002 |
Insufficient staff support | 35 (42) | 37 (45) | 11 (13) | 2 | 16 (24) | 31 (46) | 20 (30) | 2 | 0.24 | 2073 | 0.004 |
Insufficient experience | 40 (48) | 33 (40) | 10 (12) | 2 | 15 (21) | 27 (39) | 28 (40) | 2 | 0.35 | 1801 |  < 0.001 |
Insufficient resources for patient psychosocial support within the community or my practice | 18 (21) | 47 (56) | 19 (23) | 2 | 12 (16) | 36 (47) | 28 (37) | 2 | 0.15 | 2696 | 0.06 |
Insufficient resources for patient detoxification within the community or my practice | 17 (21) | 40 (49) | 25 (30) | 2 | 11 (14) | 37 (48) | 29 (38) | 2 | 0.10 | 2836 | 0.23 |