Medication Approaches for Patients With Opioid Use Disorders: Differences Between Primary Care Clinics and Specialty Addiction Treatment Programs.
Objectives: Efforts to increase access to highly effective medications for opioid use disorder (MOUD) have largely focused on primary care. Ironically, many specialty addiction treatment programs have yet to adopt MOUD. To bring MOUD access to scale, researchers need to better understand medication...
| Publicado en: | Journal of Addiction Medicine Vol. 20; no. 4; pp. 400 - 409 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Jul2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=195928492&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195928492 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 19320620 3BL0 jtl: Journal of Addiction Medicine issn: 19320620 maglogo: N pubinfo: dt: Jul2026 vid: 20 iid: 4 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 195928492 195928492 195928492 10.1097/ADM.0000000000001556 195928492 ppf: 400 ppct: 9 formats: tig: atl: Medication Approaches for Patients With Opioid Use Disorders: Differences Between Primary Care Clinics and Specialty Addiction Treatment Programs. aug: au: Franz, Berkeley Ford II, James H. Cheng, Hannah Garneau, Hélène Chokron Mount, Kimberley McGovern, Mark P. sug: subj: Narcotics Substance Use Disorders Drug Therapy Substance Use Disorders Drug Therapy Primary Health Care Secondary Health Care Drug Rehabilitation Programs Buprenorphine Therapeutic Use Prescribing Patterns Evaluation Implementation Science Human Funding Source California Health Services Accessibility Practice Guidelines Guideline Adherence Descriptive Statistics Bivariate Statistics Comparative Studies Organizational Culture Program Implementation Opiate Overdose Unemployment Health Labor Supply Prescriptions, Drug Geographic Factors Cross Sectional Studies Multicenter Studies Washington ab: Objectives: Efforts to increase access to highly effective medications for opioid use disorder (MOUD) have largely focused on primary care. Ironically, many specialty addiction treatment programs have yet to adopt MOUD. To bring MOUD access to scale, researchers need to better understand medication practices across these 2 major portals of care for patients with opioid use disorder (OUD). In this study, our team examined baseline prescribing data from 62 primary care clinics and specialty addiction treatment programs (SATPs) participating in MOUD implementation endeavors across 2 states. Methods: Our primary outcomes included MOUD prescribing practices, measured by the integrating medications for addiction treatment (IMAT), which includes 7 dimensions of guideline-adherent delivery of MOUD, and an additional subscale on low threshold care. We also measured reach of MOUD to patients and adoption as the number of current MOUD prescribers. Secondary outcomes included community characteristics surrounding each type of organization. Descriptive statistics and bivariate tests explored differences between primary and specialty care settings. Results: SATPs had lower MOUD capacity and implementation as compared with primary care clinics. Specialty settings also had lower organizational support for low threshold prescribing. SATPs were located in counties with higher overdose rates, higher unemployment, fewer MOUD prescribers, and with more opioid prescriptions per capita. Conclusions: SATPs have lower MOUD implementation capacity than their primary care counterparts and are more likely to be in counties with greater OUD-related needs, economic distress, and fewer treatment resources. Selecting more precise implementation support strategies for SATPs that are late adopters of MOUD is a major need. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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