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Projected Contributions of Nurse Practitioners and Physicians Assistant to Buprenorphine Treatment Services for Opioid Use Disorder in Rural Areas.
Andrilla, C Holly A; Patterson, Davis G; Moore, Tessa E; Coulthard, Cynthia; Larson, Eric H.
Afiliação
  • Andrilla CHA; WWAMI Rural Health Research Center, University of Washington School of Medicine, Seattle, WA, USA.
  • Patterson DG; WWAMI Rural Health Research Center, University of Washington School of Medicine, Seattle, WA, USA.
  • Moore TE; WWAMI Rural Health Research Center, University of Washington School of Medicine, Seattle, WA, USA.
  • Coulthard C; WWAMI Rural Health Research Center, University of Washington School of Medicine, Seattle, WA, USA.
  • Larson EH; WWAMI Rural Health Research Center, University of Washington School of Medicine, Seattle, WA, USA.
Med Care Res Rev ; 77(2): 208-216, 2020 04.
Article em En | MEDLINE | ID: mdl-30089426
The United States is experiencing an opioid use disorder epidemic. The Comprehensive Addiction and Recovery Act allows nurse practitioners (NPs) and physician assistants (PAs) to obtain a Drug Enforcement Administration waiver to prescribe medication-assisted treatment (MAT) for opioid use disorder. This study projected the potential increase in MAT availability provided by NPs and PAs for rural patients. Using workforce and survey data, and state scope of practice regulations, the number of treatment slots that could be provided by NPs and PAs was estimated for rural areas. NPs and PAs are projected to increase the number of rural patients treated with buprenorphine by 10,777 (15.2%). Census Divisions varied substantially in the number of projected new treatment slots per 10,000 population (0.8-10.6). The New England and East South Central Census Divisions are projected to have the largest population-adjusted increase. NPs and PAs have considerable potential to reduce substantial MAT access disparities.
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Texto completo: 1 Coleções: 01-internacional Contexto em Saúde: 2_ODS3 / 8_ODS3_consumo_sustancias_psicoactivas Base de dados: MEDLINE Assunto principal: Assistentes Médicos / Buprenorfina / Serviços de Saúde Rural / Analgésicos Opioides / Transtornos Relacionados ao Uso de Opioides / Profissionais de Enfermagem Limite: Humans País/Região como assunto: America do norte Idioma: En Revista: Med Care Res Rev Ano de publicação: 2020 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Contexto em Saúde: 2_ODS3 / 8_ODS3_consumo_sustancias_psicoactivas Base de dados: MEDLINE Assunto principal: Assistentes Médicos / Buprenorfina / Serviços de Saúde Rural / Analgésicos Opioides / Transtornos Relacionados ao Uso de Opioides / Profissionais de Enfermagem Limite: Humans País/Região como assunto: America do norte Idioma: En Revista: Med Care Res Rev Ano de publicação: 2020 Tipo de documento: Article