000002817 001__ 2817 000002817 005__ 20260313143010.0 000002817 0247_ $$2DOI$$a10.6083/M4P849M3 000002817 037__ $$aETD 000002817 245__ $$aChronic opioid therapy and the receipt of preventive services in rural primary care 000002817 260__ $$bOregon Health and Science University 000002817 269__ $$a2008 000002817 336__ $$aThesis 000002817 502__ $$bM.P.H. 000002817 520__ $$aChronic non‑malignant pain is a prevalent public health issue associated with reduced quality of life, disability, and increased health care utilization. Chronic opioid therapy for this condition often places primary care clinicians in a difficult position, balancing pain management with concerns about addiction, diversion, and legal risk. These challenges may strain patient–physician relationships and affect the delivery of comprehensive care. This study aimed to evaluate whether the use of chronic opioid therapy for non‑malignant pain is associated with differences in the receipt of recommended preventive and screening services, exploring potential unintended impacts on overall clinical care. 000002817 540__ $$fCC BY 000002817 542__ $$fIn copyright - single owner 000002817 650__ $$aPrimary Health Care$$024590 000002817 650__ $$aPreventive Health Services$$024584 000002817 650__ $$aRural Health$$025632 000002817 650__ $$aPain$$023476 000002817 650__ $$aPain$$023476 000002817 650__ $$aHealth Services$$019903 000002817 650__ $$aQuality of Life$$025032 000002817 650__ $$aPublic Health$$024885 000002817 650__ $$aPrescription Drug Diversion$$040364 000002817 650__ $$aAnalgesics, Opioid$$014660 000002817 691__ $$aSchool of Medicine$$041369 000002817 692__ $$aDepartment of Public Health and Preventive Medicine$$041444 000002817 7001_ $$aBuckley, David$$uOregon Health and Science University$$041354 000002817 8564_ $$953a77264-5665-44cf-9119-52ef6915f514$$s9864363$$uhttps://digitalcollections.ohsu.edu/record/2817/files/3585_etd.pdf$$ePublic$$2522702335a2d2a15657f72671f2833b9$$31 000002817 905__ $$a/rest/prod/vx/02/1f/27/vx021f278 000002817 909CO $$ooai:digitalcollections.ohsu.edu:2817$$pstudent-work 000002817 956__ $$aGet Accessible Copy$$uhttps://ohsu.libwizard.com/f/requestaccessibledocument 000002817 980__ $$aTheses and Dissertations