Your browser doesn't support javascript.
loading
Telehealth for opioid use disorder: retention as a function of demographics and rurality.
Williams, Arthur Robin; Aronowitz, Shoshana V; Rowe, Christopher; Gallagher, Ryan; Behar, Emily; Bisaga, Adam.
Afiliación
  • Williams AR; Department of Psychiatry, Columbia University Medical Center, New York, NY.
  • Aronowitz SV; Ophelia Health Inc., New York, NY.
  • Rowe C; Ophelia Health Inc., New York, NY.
  • Gallagher R; University of Pennsylvania School of Nursing, Philadelphia, PA.
  • Behar E; Ophelia Health Inc., New York, NY.
  • Bisaga A; Ophelia Health Inc., New York, NY.
Am J Drug Alcohol Abuse ; 49(2): 260-265, 2023 03 04.
Article en En | MEDLINE | ID: mdl-36961998
Background: Despite lifesaving medications such as buprenorphine and methadone, the majority of individuals with opioid use disorder (OUD) face access barriers to evidence-based treatment. COVID-19 era regulatory reforms have shown that telehealth can improve access to care, although disparities in clinical outcomes are likely to persist.Objective: We aimed to analyze 180-day and 365-day retention in treatment with buprenorphine for OUD overall and by demographics, hypothesizing that retention would be lower among racial/ethnic minorities and rural patients.Methods: We analyzed data from a cohort of individuals with OUD enrolled in treatment from April 1, 2020 to September 30, 2021, in Pennsylvania and New York using a virtual-first telehealth OUD treatment platform to assess rates of 180-day and 365-day retention. Associations between demographic characteristics and retention were assessed using unadjusted and adjusted logistic regression models.Results: Among 1,378 patients (58.8% male), 180-day retention was 56.4%, and 365-day retention was 48.3%. Adjusted analyses found that only an association between older age and greater odds of 180-day retention was significant (aOR for patients aged 30-50 vs. <30: 1.83 [1.37-2.45]). There were no significant associations between sex, race/ethnicity, state, or rurality with retention.Conclusion: While we were unable to control for socioeconomic variables, we found retention within telehealth services for buprenorphine was high irrespective of geography or race/ethnicity, but disparities with age indicate a subset of patients who may benefit from more intensive services early in care.
Asunto(s)
Palabras clave

Texto completo: 1 Base de datos: MEDLINE Asunto principal: Buprenorfina / Telemedicina / COVID-19 / Trastornos Relacionados con Opioides Tipo de estudio: Prognostic_studies / Risk_factors_studies Idioma: En Revista: Am J Drug Alcohol Abuse Año: 2023 Tipo del documento: Article

Texto completo: 1 Base de datos: MEDLINE Asunto principal: Buprenorfina / Telemedicina / COVID-19 / Trastornos Relacionados con Opioides Tipo de estudio: Prognostic_studies / Risk_factors_studies Idioma: En Revista: Am J Drug Alcohol Abuse Año: 2023 Tipo del documento: Article