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Table 2 Barriers to commercialization/implementation identified during the NIDA I-Corps interviews

From: Lessons from the National institutes of health innovation corps program: defining barriers to developing and commercializing novel solutions for persons with opioid use disorder

Barrier Category

Specific Barrier

Systemic

• Presence of the X-waiver*

• Limited access to insurance coverage for OUD-specific treatment

• Laws and consequences of OUD use varying state-by-state

Patient Care

• Differences in OUD treatment types available based on geographic region

• Lack of precision care for OUD

• Lack of proper OUD patient surveillance

• Need for at-home OD device data collection

Financial

• OUD patient readmissions are a major cost factor for academic medical centers

• Liability and uncertainty regarding funding for OUD innovation

Social

• Stigma from providers in prescribing MOUD

• Limited resources for OUD-based harm reduction services

• Psychological unpreparedness toward OUD treatment from patients

• Need for a social support structure to prevent OD

  1. * The findings presented in this paper occurred before the repeal of the X-waiver