Publications by authors named "D A Fiellin"
Background: Treatment of alcohol withdrawal syndrome (AWS) in hospitals is inconsistent. Electronic health record (EHR) order sets protocolize care.
Objective: We examined variation in AWS order sets across hospital organizations and their concordance with AWS guidelines.
Article Synopsis
- This study aimed to assess whether a method called implementation facilitation is more cost-effective than traditional educational strategies in promoting the use of buprenorphine for opioid use disorder in emergency departments (EDs).
- Researchers conducted a cost-effectiveness analysis during "Project ED Health," measuring outcomes like quality-adjusted life-years and patient engagement with community care, and found that while the costs were similar, the facilitation method led to significantly better effectiveness.
- The results indicated a 74% to 75% chance that implementation facilitation is considered cost-effective within typical health care spending thresholds, suggesting it could be a viable approach to improve opioid treatment outcomes.
Background: Alternative models for methadone delivery outside of federal and state-regulated opioid treatment programs may improve access. We determined factors associated with clinician support for continuing office-based methadone.
Methods: We used data from the electronic Opioid Use Disorder Provider COVID-19 Survey conducted among X-waivered clinicians who were providing outpatient, longitudinal treatment of opioid use disorder (OUD) from July 2020 to August 2020.
Among persons with HIV (PWH), unhealthy alcohol use and polypharmacy contribute to bothersome symptoms (e.g., fatigue, dizziness, memory loss).
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