AI Article Synopsis
- Individuals with opioid use disorder (OUD) need better access to treatment, and strategies like starting buprenorphine in emergency departments and using telemedicine can improve this access.
- A new referral process was tested that involved proactive outreach and telemedicine appointments to quickly connect patients with medications and ongoing care.
- The results showed high follow-through rates: 69.9% of participants completed all steps, leading to 126 new prescriptions for buprenorphine and 114 links to long-term treatment, indicating this method effectively prepares patients for receiving care.
Article Abstract
Background: Persons with opioid use disorder (OUD) urgently need improved access to medications for opioid use disorder (MOUD) and long-term treatment. Promising options include initiating buprenorphine in the emergency department (ED), telemedicine, and proactive treatment referrals before overdose events.
Objective(s): We describe the process and outcomes of a novel referral path utilizing preemptive outreach and telemedicine to facilitate rapid access to MOUD and long-term treatment.
Methods: Participants were referred to telemedicine appointments with ED providers for buprenorphine initiation and to treatment agencies via an electronic referral network. Administrative data tracked participation at each stage of the process. Independent samples t-tests and chi-square tests assessed differences in process completion based on demographics.
Results: 163 persons with OUD or recent opioid overdose were referred, with high rates of participant follow-through, resulting in 126 new buprenorphine prescriptions and 114 linkages to long-term treatment. Of the 163 patients referred, 114 (69.9%) completed all steps. Participant demographics were not associated with significantly different completion rates.
Conclusions: This model serves as a viable pathway to link people to treatment resources and MOUD, and novelly combines prospective client outreach with telemedicine to reach persons before they arrive in the ED following an overdose. Future studies should examine the impact of similar programs on subsequent opioid use rates and treatment retention.
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| http://dx.doi.org/10.1080/10550887.2024.2402121 | DOI Listing |
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Article Synopsis
- Individuals with opioid use disorder (OUD) need better access to treatment, and strategies like starting buprenorphine in emergency departments and using telemedicine can improve this access.
- A new referral process was tested that involved proactive outreach and telemedicine appointments to quickly connect patients with medications and ongoing care.
- The results showed high follow-through rates: 69.9% of participants completed all steps, leading to 126 new prescriptions for buprenorphine and 114 links to long-term treatment, indicating this method effectively prepares patients for receiving care.
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