Continuity of Primary Care and Delayed Opioid Initiation in Non‐Cancer Pain: A Cohort Study

Relational continuity in primary care plays a key role in shaping opioid prescribing patterns among adults with non-cancer pain. Using nationwide data, our findings suggest that stronger continuity is associated with more cautious opioid use, including delayed initiation and a lower likelihood of inappropriate prescribing. These results highlight the importance of fostering ongoing, trust-based relationships between patients and primary care providers as a strategy to reduce unnecessary opioid exposure and promote safer, patient-centered pain management. Strengthening continuity in primary care may therefore have meaningful implications for both clinical practice and health policy.