000009955 001__ 9955 000009955 005__ 20240124114331.0 000009955 0247_ $$2DOI$$a10.6083/6q182k826 000009955 037__ $$aETD 000009955 245__ $$aDefining gaps between information needs and readiness: assessing opioid use disorder risk in patients considered for long-term opioid treatment 000009955 260__ $$bOregon Health and Science University 000009955 269__ $$a2022 000009955 336__ $$aDissertation 000009955 502__ $$bPh.D. 000009955 520__ $$aPatients on prescription opioids for pain can develop opioid use disorder (OUD) from extended use. Such patients are at increased risk for opioid overdose deaths contributing to the national opioid crisis. The CDC's opioid prescribing guidelines has recommendations for the primary care providers (PCPs) to consider OUD risk before and periodically during ongoing prescribing of long-term opioids for patients with chronic, non-cancer pain. However, the process is relatively complex, requiring PCPs to integrate disparate patient-specific data from multiple sources. Further, recent initiatives and plans to address opioid misuse and use disorder require that data be computable to meet the triple aim of improving practice, enabling research and informing policy. This work is a novel attempt to incorporate PCPs' knowledge and experience into a framework for defining the gaps between information needs of the PCPs and readiness of the electronic health record (EHR) for assessing patients' OUD risk. 000009955 542__ $$fIn copyright - single owner 000009955 650__ $$aLearning Health System$$013179 000009955 650__ $$aPrimary Health Care$$024590 000009955 650__ $$aData Accuracy$$011271 000009955 650__ $$aRisk Assessment$$030914 000009955 650__ $$aEvidence-Based Medicine$$031532 000009955 6531_ $$aopioid use disorder 000009955 6531_ $$asecondary use of ehr data 000009955 691__ $$aSchool of Medicine$$041369 000009955 692__ $$aDepartment of Medical Informatics and Clinical Epidemiology$$041422 000009955 7001_ $$aMishra, Meenakshi 000009955 8564_ $$916c2e06a-b03d-4dc2-a64b-1c96b45e2f79$$s2024684$$uhttps://digitalcollections.ohsu.edu/record/9955/files/Meenakshi.Mishra.2022.pdf 000009955 905__ $$a/rest/prod/6q/18/2k/82/6q182k826 000009955 909CO $$ooai:digitalcollections.ohsu.edu:9955$$pstudent-work 000009955 980__ $$aTheses and Dissertations