Inpatient initiation of long-acting injectable buprenorphine at a community hospital: A retrospective case series.

Objectives: Determine if long-acting injectable buprenorphine (LAIB) can be successfully and safely administered in the hospital with minimal sublingual buprenorphine lead-in and potentially improve follow-up engagement in care.

Methods: We performed a retrospective case series of 46 patients who received LAIB while hospitalized at a safety-net community hospital. We abstracted demographic information, details about substance use disorder treatment history, in-hospital buprenorphine initiation methods and follow-up data from inpatient and outpatient electronic medical records.

Adaptation of Screening Tools for Social Determinants of Health in Pregnancy: A Pilot Project.

Objectives: Social determinants of health (SDOH) and stress during pregnancy may contribute to adverse pregnancy outcomes. The objective of this in the field pilot project was to develop a comprehensive screening tool by combining existing validated screeners. Additionally, implement use of this tool within routine prenatal visits and assess feasibility.

Barriers to care for perinatal patients with opioid use disorder: family physician perspectives.

Background: While barriers to care for pregnant patients with opioid use disorder (OUD) have been described, the experiences and challenges of the physicians providing care to these patients are poorly understood.

Objectives: To describe the experiences of family physicians providing comprehensive care to pregnant people with OUD and the challenges they face in providing such care.

Methods: Qualitative thematic analysis of 17 semistructured interviews conducted from July 2019 to September 2020 with family physicians who possess a Drug Enforcement Administration "X" waiver and provide care to pregnant patients.

Diagnostic colonoscopy following a positive fecal occult blood test in community health center patients.

Purpose: Fecal occult blood testing (FOBT) is a pragmatic screening option for many community health centers (CHCs), but FOBT screening programs will not reduce mortality if patients with positive results do not undergo diagnostic colonoscopy (DC). This study was conducted to investigate DC completion among CHC patients.

Methods: This retrospective cohort study used data from three CHCs in the Midwest and Southwest.