Evaluation of a Statewide Policy to Improve Post-Overdose Care in Emergency Departments and Subsequent Treatment Engagement.
R I Med J (2013)
; 106(2): 34-39, 2023 Mar 01.
Article
in En
| MEDLINE
| ID: mdl-36848541
ABSTRACT
OBJECTIVE:
To evaluate the impact of a statewide treatment standards policy for post-overdose emergency department (ED) care on services provided and subsequent treatment engagement.METHODS:
This pre-/post-study used electronic health record data and surveillance data from Rhode Island. Outcomes were compared for patients attending EDs for opioid overdose before (03/1/2015-02/28/2017) and after (04/01/2017-03/31/2021) policy release.RESULTS:
Overall, 2,134 patients attended 2,891 ED visits for opioid overdose. Compared to pre-policy, visits post-policy more often included initiation of buprenorphine in or from the ED (<1% vs. 3%, p<0.01), provision of a take-home naloxone kit or prescription (41% vs. 58%, p<0.01), and referral to treatment (0% vs. 34%, p<0.01). Provision of behavioral counseling in the ED and initiation of treatment within 30 days of the visit were similar during the two periods.CONCLUSIONS:
Statewide post-overdose treatment standards may improve provision of some ED services. Additional strategies are needed to improve subsequent treatment engagement.Key words
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Emergency Medical Services
/
Drug Overdose
/
Opiate Overdose
Type of study:
Evaluation_studies
/
Guideline
Limits:
Humans
Language:
En
Journal:
R I Med J (2013)
Year:
2023
Document type:
Article