Your browser doesn't support javascript.
loading
Overcoming policy and financing barriers to integrated buprenorphine and HIV primary care.
Schackman, Bruce R; Merrill, Joseph O; McCarty, Dennis; Levi, Jeffrey; Lubinski, Christine.
Afiliação
  • Schackman BR; Department of Public Health, Weill Medical College of Cornell University, New York, NY 10021, USA. brs2006@med.cornell.edu
Clin Infect Dis ; 43 Suppl 4: S247-53, 2006 Dec 15.
Article em En | MEDLINE | ID: mdl-17109311
Treatment for substance abuse and human immunodeficiency virus (HIV) infection historically have come from different providers, often in separate locations, and have been reimbursed through separate funding streams. We describe policy and financing challenges faced by health care providers seeking to integrate buprenorphine, a new treatment for opioid dependence, into HIV primary care. Regulatory challenges include licensing and training restrictions imposed by the Drug Addiction Treatment Act of 2000 and confidentiality regulations for alcohol and drug treatment records. Potential responses include the development of local training programs and electronic medical records. Addressing the complexity of funding sources for integrated care will require administrative support, up-front investments, and federal and state leadership. A policy and financing research agenda should address evidence gaps in the rationales for regulatory restrictions and should include cost-effectiveness studies that quantify the "value for money" of investments in integrated care to improve health outcomes for HIV-infected patients with opioid dependence.
Assuntos
Buscar no Google
Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Buprenorfina / Infecções por HIV / Prestação Integrada de Cuidados de Saúde / Recursos em Saúde / Antagonistas de Entorpecentes / Transtornos Relacionados ao Uso de Opioides Tipo de estudo: Diagnostic_studies / Health_economic_evaluation Limite: Female / Humans / Male País/Região como assunto: America do norte Idioma: En Ano de publicação: 2006 Tipo de documento: Article
Buscar no Google
Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Buprenorfina / Infecções por HIV / Prestação Integrada de Cuidados de Saúde / Recursos em Saúde / Antagonistas de Entorpecentes / Transtornos Relacionados ao Uso de Opioides Tipo de estudo: Diagnostic_studies / Health_economic_evaluation Limite: Female / Humans / Male País/Região como assunto: America do norte Idioma: En Ano de publicação: 2006 Tipo de documento: Article