TY - JOUR
KW - Buprenorphine/therapeutic use
KW - Humans
KW - North America
KW - Opiate Substitution Treatment
KW - Opioid-Related Disorders/diagnosis/drug therapy/epidemiology
KW - Primary Health Care
KW - buprenorphine
KW - opioid use disorder
KW - primary care
AU - J. H. Donroe
AU - E. P. Bhatraju
AU - J. I. Tsui
AU - E. J. Edelman
A1 - 
AB - PURPOSE OF REVIEW: The rising prevalence of opioid use disorder (OUD) and related complications in North America coupled with limited numbers of specialists in addiction medicine has led to large gaps in treatment. Primary care providers (PCPs) are ideally suited to diagnose and care for people with OUD and are increasingly being called upon to improve access to care. This review will highlight the recent literature pertaining to the care of patients with OUD by PCPs. RECENT FINDINGS: The prevalence of patients with OUD in primary care practice is increasing, and models of office-based opioid treatment (OBOT) are evolving to meet local needs of both ambulatory practices and patients. OBOT has been shown to increase access to care and demonstrates comparable outcomes when compared to more specialty-driven care. OBOT is an effective means of increasing access to care for patients with OUD. The ideal structure of OBOT depends on local factors. Future research must explore ways to increase the identification and diagnosis of patients with OUD, improve treatment retention rates, reduce stigma, and promote interdisciplinary approaches to care.
AD - Yale School of Medicine, 1450 Chapel Street, Office MOB211, New Haven, CT, 06511, USA. joseph.donroe@yale.edu.; University of Washington School of Medicine, Seattle, WA, USA.; University of Washington School of Medicine, Seattle, WA, USA.; Yale School of Medicine, 1450 Chapel Street, Office MOB211, New Haven, CT, 06511, USA.; Yale Schools of Medicine and Public Health, E.S. Harkness Memorial Hall, Building A, 367 Cedar Street, Ste Suite 401, New Haven, CT, 06510, USA.
BT - Current psychiatry reports
C5 - Education & Workforce; Opioids & Substance Use
CP - 5
CY - United States
DO - 10.1007/s11920-020-01149-0
IS - 5
JF - Current psychiatry reports
LA - eng
M1 - Journal Article
N2 - PURPOSE OF REVIEW: The rising prevalence of opioid use disorder (OUD) and related complications in North America coupled with limited numbers of specialists in addiction medicine has led to large gaps in treatment. Primary care providers (PCPs) are ideally suited to diagnose and care for people with OUD and are increasingly being called upon to improve access to care. This review will highlight the recent literature pertaining to the care of patients with OUD by PCPs. RECENT FINDINGS: The prevalence of patients with OUD in primary care practice is increasing, and models of office-based opioid treatment (OBOT) are evolving to meet local needs of both ambulatory practices and patients. OBOT has been shown to increase access to care and demonstrates comparable outcomes when compared to more specialty-driven care. OBOT is an effective means of increasing access to care for patients with OUD. The ideal structure of OBOT depends on local factors. Future research must explore ways to increase the identification and diagnosis of patients with OUD, improve treatment retention rates, reduce stigma, and promote interdisciplinary approaches to care.
PP - United States
PY - 2020
SN - 1535-1645; 1523-3812
SP - 020
EP - 0
EP - 23+
T1 - Identification and Management of Opioid Use Disorder in Primary Care: an Update
T2 - Current psychiatry reports
TI - Identification and Management of Opioid Use Disorder in Primary Care: an Update
U1 - Education & Workforce; Opioids & Substance Use
U2 - 32285215
U3 - 10.1007/s11920-020-01149-0
VL - 22
VO - 1535-1645; 1523-3812
Y1 - 2020
Y2 - Apr 13
ER -