Barriers to Alcohol Use Disorder Treatment in Patients with Alcohol-Associated Liver Disease.

Clin Liver Dis

Clinical Psychoneuroendocrinology and Neuropsychopharmacology Section, Translational Addiction Medicine Branch, National Institute on Drug Abuse Intramural Research Program and National Institute on Alcohol Abuse and Alcoholism Division of Intramural Clinical and Biological Research, National Institutes of Health, 251 Bayview Boulevard, Baltimore, MD 21224, USA; Department of Behavioral and Social Sciences, Center for Alcohol and Addiction Studies, School of Public Health, Brown University, 121 South Main Street, Providence, RI 02903, USA; Division of Addiction Medicine, Department of Medicine, School of Medicine, Johns Hopkins University, 4940 Eastern Avenue, Baltimore, MD 21224, USA; Department of Neuroscience, Georgetown University Medical Center, 3970 Reservoir Road Northwest, NRB, EP04, Washington, DC, USA. Electronic address:

Published: November 2024

The cornerstone in managing alcohol-associated liver disease is the treatment of alcohol use disorder (AUD). Several barriers prevent the implementation of adequate treatment and integrated care models. There are patient-level barriers, including the lack of self-awareness of AUD and being ashamed of AUD. There are clinician-level barriers, including lack of training and discomfort in managing patients with AUD. There are system-level barriers, including challenges related to insurance-based health care systems, and the general reluctance to invest in AUD by organizations focused on for-profit milestones. Therefore, it is imperative to develop multidisciplinary hepatology/addiction integrated care approaches.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11458136PMC
http://dx.doi.org/10.1016/j.cld.2024.06.012DOI Listing

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