TY - JOUR
KW - Community Health Centers
KW - medication assisted treatment
KW - substance use disorders
AU - T. Rieckmann
AU - J. Muench
AU - M. A. McBurnie
AU - M. C. Leo
AU - P. Crawford
AU - D. Ford II
AU - J. Stubbs
AU - C. O'Cleirigh
AU - K. H. Mayer
AU - K. Fiscella
AU - N. Wright
AU - M. Doe-Simkins
AU - M. Cuddeback
AU - E. Salisbury-Afshar
AU - C. Nelson
A1 - 
AB - BACKGROUND: The Affordable Care Act increases access to treatment services for people who suffer from substance use disorders (SUDs), including alcohol use disorders (AUDs) and opioid use disorders (OUDs). This increased access to treatment has broad implications for delivering health services and creates a dramatic need for transformation in clinical care, service lines, and collaborative care models. Medication assisted treatments (MAT) are effective for helping SUD patients reach better outcomes. This manuscript uses electronic health record (EHR) data to examine the prevalence of EHR-documented SUD, patient characteristics, and patterns of MAT prescribing and screening for patients within the Community Health Applied Research Network (CHARN), a national network of 17 community health centers that facilitates patient-centered outcomes research among underserved populations. METHODS: Hierarchical generalized linear models examined patient characteristics, SUD occurrence rates, MAT prescription, and HIV and Hepatitis Virus C screening for patients with AUDs or OUDs. RESULTS: Among 572,582 CHARN adult patients, 16,947 (3.0%) had a documented AUD diagnosis and 6,080 (1.1%) an OUD diagnosis. Alcohol MAT prescriptions were documented for 547 AUD patients (3.2%) and opioid MAT for 1,764 OUD patients (29.0%). Among OUD patients, opioid MAT was significantly associated with HIV screening (OR = 1.31, p<.001) in OUD patients as was alcohol MAT among AUD patients (OR = 1.30, p = .013). CONCLUSIONS: Our findings suggest that effective opioid and alcohol MAT may be substantially under-prescribed among safety-net patients identified as having OUD or AUD.
BT - Substance abuse
C5 - Opioids & Substance Use; Healthcare Disparities; HIT & Telehealth; Healthcare Policy
DO - 10.1080/08897077.2016.1189477
JF - Substance abuse
N2 - BACKGROUND: The Affordable Care Act increases access to treatment services for people who suffer from substance use disorders (SUDs), including alcohol use disorders (AUDs) and opioid use disorders (OUDs). This increased access to treatment has broad implications for delivering health services and creates a dramatic need for transformation in clinical care, service lines, and collaborative care models. Medication assisted treatments (MAT) are effective for helping SUD patients reach better outcomes. This manuscript uses electronic health record (EHR) data to examine the prevalence of EHR-documented SUD, patient characteristics, and patterns of MAT prescribing and screening for patients within the Community Health Applied Research Network (CHARN), a national network of 17 community health centers that facilitates patient-centered outcomes research among underserved populations. METHODS: Hierarchical generalized linear models examined patient characteristics, SUD occurrence rates, MAT prescription, and HIV and Hepatitis Virus C screening for patients with AUDs or OUDs. RESULTS: Among 572,582 CHARN adult patients, 16,947 (3.0%) had a documented AUD diagnosis and 6,080 (1.1%) an OUD diagnosis. Alcohol MAT prescriptions were documented for 547 AUD patients (3.2%) and opioid MAT for 1,764 OUD patients (29.0%). Among OUD patients, opioid MAT was significantly associated with HIV screening (OR = 1.31, p<.001) in OUD patients as was alcohol MAT among AUD patients (OR = 1.30, p = .013). CONCLUSIONS: Our findings suggest that effective opioid and alcohol MAT may be substantially under-prescribed among safety-net patients identified as having OUD or AUD.
PY - 2016
SN - 1547-0164; 0889-7077
SP - 625
EP - 634
EP - 
T1 - Medication Assisted Treatment for Substance Use Disorders within a National Community Health Center Research Network
T2 - Substance abuse
TI - Medication Assisted Treatment for Substance Use Disorders within a National Community Health Center Research Network
U1 - Opioids & Substance Use; Healthcare Disparities; HIT & Telehealth; Healthcare Policy
U2 - 27218678
U3 - 10.1080/08897077.2016.1189477
VL - 37 Is  - 4
VO - 1547-0164; 0889-7077
Y1 - 2016
ER -