The Resource Medication-assisted treatment models of care for opioid use disorder in primary care settings, prepared for Agency for Healthcare Research and Quality, US Department of Health and Human Services ; prepared by Pacific Northwest Evidence-based Practice Center ; investigators, Roger Chou, P. Todd Korthuis, Melissa Weimer, Christina Bougatsos, Ian Blazina, Bernadette Zakher, Sara Grusing, Beth Devine, Dennis McCarty

Medication-assisted treatment models of care for opioid use disorder in primary care settings, prepared for Agency for Healthcare Research and Quality, US Department of Health and Human Services ; prepared by Pacific Northwest Evidence-based Practice Center ; investigators, Roger Chou, P. Todd Korthuis, Melissa Weimer, Christina Bougatsos, Ian Blazina, Bernadette Zakher, Sara Grusing, Beth Devine, Dennis McCarty

Label
Medication-assisted treatment models of care for opioid use disorder in primary care settings
Title
Medication-assisted treatment models of care for opioid use disorder in primary care settings
Statement of responsibility
prepared for Agency for Healthcare Research and Quality, US Department of Health and Human Services ; prepared by Pacific Northwest Evidence-based Practice Center ; investigators, Roger Chou, P. Todd Korthuis, Melissa Weimer, Christina Bougatsos, Ian Blazina, Bernadette Zakher, Sara Grusing, Beth Devine, Dennis McCarty
Creator
Contributor
Author
Issuing body
Sponsoring body
Subject
Language
eng
Summary
BACKGROUND: The majority of medication treatment for opioid use disorder (OUD) is provided in primary care settings. Effective and innovative models of care for medication-assisted treatment (MAT) in primary care settings (including rural or other underserved settings) could facilitate implementation and enhance provision and uptake of agonist and antagonist pharmacotherapy in conjunction with psychosocial services for more effective treatment of OUDs. PURPOSE: The purpose of this Technical Brief is to describe promising and innovative MAT models of care in primary care settings, describe barriers to MAT implementation, summarize the evidence available on MAT models of care in primary care settings, identify gaps in the evidence base, and guide future research. METHODS: We performed searches in electronic databases from 1995 to mid-June 2016, reviewed reference lists, searched grey literature sources, and interviewed Key Informants. We summarized representative MAT models of care in primary care settings and qualitatively summarized the evidence on MAT models of care in primary care settings and identified areas of future research needs. FINDINGS: We summarized 12 representative MAT models of care in primary care settings, using a framework describing the pharmacological component, the psychosocial services component, the integration/coordination component, and the educational/outreach component. Innovations in MAT models of care include the use of designated nonphysician staff to perform the key integration/coordination role; tiered care models with centralized intake and stabilization of patients with ongoing management in community settings; screening and induction performed in emergency department, inpatient, or prenatal settings with subsequent referral to community settings; community-based stakeholder engagement to develop practice standards and improve quality of care; and use of Internet-based learning networks. Most trials of MAT in primary care settings focus on comparisons of one pharmacological therapy versus another, or on the effectiveness of different intensities or types of psychosocial interventions, rather than on effectiveness of different MAT models of care per se. Key barriers to implementation of MAT models of care include stigma, lack of institutional support, lack of prescribing physicians, lack of expertise, and inadequate reimbursement. CONCLUSIONS: A number of MAT models of care have been developed and implemented in primary care settings. Research is needed to clarify optimal MAT models of care and to understand effective strategies for overcoming barriers to implementation. The models of care presented in this technical brief may help inform the individualized implementation or MAT models of care in different primary care settings
Member of
Cataloging source
NLM
http://library.link/vocab/creatorName
Chou, Roger
Funding information
Prepared for: Agency for Healthcare Research and Quality, US Department of Health and Human Services ; prepared by: Pacific Northwest Evidence-based Practice Center, Portland, OR
Government publication
federal national government publication
Illustrations
illustrations
Index
no index present
Literary form
non fiction
Nature of contents
  • dictionaries
  • bibliography
NLM call number
WM 284
http://library.link/vocab/relatedWorkOrContributorName
  • Oregon Health & Science University
  • United States
Series statement
  • Technical brief
  • AHRQ publication
Series volume
  • number 28
  • no. 16(17)-EHC039-EF
http://library.link/vocab/subjectName
  • Opioid-Related Disorders
  • Primary Health Care
Label
Medication-assisted treatment models of care for opioid use disorder in primary care settings, prepared for Agency for Healthcare Research and Quality, US Department of Health and Human Services ; prepared by Pacific Northwest Evidence-based Practice Center ; investigators, Roger Chou, P. Todd Korthuis, Melissa Weimer, Christina Bougatsos, Ian Blazina, Bernadette Zakher, Sara Grusing, Beth Devine, Dennis McCarty
Instantiates
Publication
Note
"December 2016."
Bibliography note
Includes bibliographical references
Carrier category
online resource
Carrier category code
  • cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
  • txt
Content type MARC source
rdacontent
Control code
972844924
Extent
1 online resource (various pagings)
Form of item
online
Media category
computer
Media MARC source
rdamedia
Media type code
  • c
Other physical details
illustration.
Specific material designation
remote
System control number
(OCoLC)972844924
Label
Medication-assisted treatment models of care for opioid use disorder in primary care settings, prepared for Agency for Healthcare Research and Quality, US Department of Health and Human Services ; prepared by Pacific Northwest Evidence-based Practice Center ; investigators, Roger Chou, P. Todd Korthuis, Melissa Weimer, Christina Bougatsos, Ian Blazina, Bernadette Zakher, Sara Grusing, Beth Devine, Dennis McCarty
Publication
Note
"December 2016."
Bibliography note
Includes bibliographical references
Carrier category
online resource
Carrier category code
  • cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
  • txt
Content type MARC source
rdacontent
Control code
972844924
Extent
1 online resource (various pagings)
Form of item
online
Media category
computer
Media MARC source
rdamedia
Media type code
  • c
Other physical details
illustration.
Specific material designation
remote
System control number
(OCoLC)972844924

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