Association between different modalities of opioid use disorder-related care delivery and opioid use disorder-related patient outcomes: A retrospective cohort study

IF 2.8 Q1 Psychology

Addictive Behaviors Reports Pub Date : 2025-02-02 DOI:10.1016/j.abrep.2025.100588

Nahiyan Bin Noor , George Pro , Mahip Acharya , Hari Eswaran , Corey J. Hayes

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引用次数: 0

Abstract

Objective

This study assessed the impact of different modalities of delivery of opioid use disorder (OUD)-related care on several patient outcomes.

Methods

This study was conducted among patients newly diagnosed with OUD and receiving OUD-related care between March 2020 and March 2022, using data from Epic Cosmos. We examined the association between the most common modality of OUD-related care delivery (audio-only vs. audiovisual vs. in-person) and the number of emergency department (ED) visits for any overdose and opioid-specific overdose and receipt of medication treatment for OUD (MOUD; primary). We also examined the association between the most common modality of OUD-related care delivery and all-cause ED visits, hospitalizations, and psychiatric-related hospitalizations (secondary outcomes). We estimated logistic regression for receipt of MOUD and negative binomial for all other outcomes.

Results

Most patients primarily received OUD-related care in person (87.6 %, n = 159,351), followed by audiovisual visits (11.3 %, n = 20,629) and audio-only visits (1.1 %, n = 1,869). The mean (SD) ages for these groups were 51.7 (15.9), 47.1 (15.0), and 51.1 (15.8) years, respectively. Compared to receiving OUD-related care primarily in-person, receiving care predominantly through audio-only or audiovisual visits was associated with a modest decrease in number of all-cause ED visits. Receiving OUD-related care primarily through audiovisual visits, compared to in-person care, was associated with a slight increase in the odds of receiving MOUD. No statistically significant differences were found between the care delivery modalities and the other outcomes we examined.

Conclusion

Telehealth, delivered via audio-only or audiovisual methods, appears to provide care of similar quality to in-person OUD care and may modestly reduce OUD-related ED visits while slightly increasing MOUD receipt. These findings support continued delivery of OUD-related care through telehealth and continuation of COVID-19-related policies.

查看原文本刊更多论文

阿片类药物使用障碍相关护理交付的不同方式与阿片类药物使用障碍相关患者结局之间的关联：一项回顾性队列研究

目的：本研究评估阿片类药物使用障碍（OUD）相关护理的不同递送方式对几种患者预后的影响。方法本研究在2020年3月至2022年3月期间新诊断为OUD并接受OUD相关治疗的患者中进行，使用Epic Cosmos的数据。我们研究了最常见的与OUD相关的护理交付方式（仅听、视听、面对面）与急诊部（ED）因任何过量和阿片类药物过量而就诊的次数以及接受OUD药物治疗之间的关系(mod；主)。我们还研究了最常见的与oud相关的护理方式与全因ED就诊、住院和精神病学相关住院（次要结局）之间的关系。我们对mod的接收和所有其他结果的负二项估计了逻辑回归。结果大多数患者接受的是面对面的oud相关护理（87.6%,n = 159,351），其次是视听访视（11.3%,n = 20,629）和单纯的视听访视（1.1%,n = 1,869）。两组患者的平均（SD）年龄分别为51.7（15.9）岁、47.1（15.0）岁和51.1（15.8）岁。与主要面对面接受与急诊科相关的护理相比，主要通过视听访问接受护理与全因急诊科就诊数量的适度减少有关。与面对面护理相比，主要通过视听访问接受与oud相关的护理与接受oud的几率略有增加有关。在我们检查的护理方式和其他结果之间没有发现统计学上的显著差异。结论通过视听方式提供的远程医疗似乎提供了与现场OUD护理相似的护理质量，并可能适度减少与OUD相关的ED就诊，同时略微增加mod接收。这些调查结果支持通过远程医疗继续提供与oud相关的护理，并继续执行与covid -19相关的政策。

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来源期刊

Addictive Behaviors Reports Medicine-Psychiatry and Mental Health

CiteScore

6.80

自引率

0.00%

发文量

审稿时长

71 days

期刊介绍： Addictive Behaviors Reports is an open-access and peer reviewed online-only journal offering an interdisciplinary forum for the publication of research in addictive behaviors. The journal accepts submissions that are scientifically sound on all forms of addictive behavior (alcohol, drugs, gambling, Internet, nicotine and technology) with a primary focus on behavioral and psychosocial research. The emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. We are particularly interested in ''non-traditional'', innovative and empirically oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research. Studies that might encourage new lines of inquiry as well as scholarly commentaries on topical issues, systematic reviews, and mini reviews are also very much encouraged. We also welcome multimedia submissions that incorporate video or audio components to better display methodology or findings.