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Observational study reveals provider training and racial disparities influence higher-risk opioid prescribing in primary care, highlighting systemic differences in chronic pain management.
In this academic clinical setting, patients with a resident primary care provider are less likely to receive higher-risk opioid prescriptions, as are Hispanic, Asian, and older patients. Black patients complete urine drug tests more frequently independent of other patient and provider characteristics. Additional studies are needed to assess why patients who travel larger distances to their primary care clinic are prescribed higher doses of opioids for chronic noncancer pain.
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Bauer et al. (2016) studied this question.
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