TY - JOUR
KW - medication assisted treatment
KW - Opioid-use disorder
KW - patient-centered
KW - rural
AU - M. R. Filteau
AU - F. L. Kim
AU - B. Green
A1 - 
AB - The expansion of access to medication-assisted treatment by states and the federal government serves as one important tool for tackling the opioid crisis. Achieving this goal requires increasing the number of medical professionals who hold DATA Waiver 2000 waived status, which allows providers to prescribe the medication utilized by treatment programs. Waived providers are scarce throughout rural America, placing a potentially large burden on those who do hold a waiver. This paper uses data gathered through qualitative interviews with healthcare workers and patients at MAT clinics in Montana to understand how the relationship between rural healthcare workers and MAT patients contributes to burnout and potential staff turnover in a rural setting. Patients defined quality care via the patient-staff relationship, including expectations of personal support and viewing staff availability as a requirement for their recovery. Healthcare workers, in contrast, refer to their availability to patients as overwhelming and necessary both during and after business hours. These findings illuminate the need to continue expanding MAT access in rural communities, especially in non-specialty care settings including primary care offices and Federally Qualified Health Centers.
AD - JG Research & Evaluation, 2103 Bridger Drive, Bozeman, MT, 59715, USA.; JG Research & Evaluation, 2103 Bridger Drive, Bozeman, MT, 59715, USA. frances@jgresearch.org.; JG Research & Evaluation, 2103 Bridger Drive, Bozeman, MT, 59715, USA.
BT - Community mental health journal
C5 - Education & Workforce; Healthcare Policy; Opioids & Substance Use
CY - United States
DO - 10.1007/s10597-021-00824-7
JF - Community mental health journal
LA - eng
M1 - Journal Article
N2 - The expansion of access to medication-assisted treatment by states and the federal government serves as one important tool for tackling the opioid crisis. Achieving this goal requires increasing the number of medical professionals who hold DATA Waiver 2000 waived status, which allows providers to prescribe the medication utilized by treatment programs. Waived providers are scarce throughout rural America, placing a potentially large burden on those who do hold a waiver. This paper uses data gathered through qualitative interviews with healthcare workers and patients at MAT clinics in Montana to understand how the relationship between rural healthcare workers and MAT patients contributes to burnout and potential staff turnover in a rural setting. Patients defined quality care via the patient-staff relationship, including expectations of personal support and viewing staff availability as a requirement for their recovery. Healthcare workers, in contrast, refer to their availability to patients as overwhelming and necessary both during and after business hours. These findings illuminate the need to continue expanding MAT access in rural communities, especially in non-specialty care settings including primary care offices and Federally Qualified Health Centers.
PP - United States
PY - 2021
SN - 1573-2789; 0010-3853
T1 - "It's more than Just a Job to Them": A Qualitative Examination of Patient and Provider Perspectives on Medication-Assisted Treatment for Opioid Use Disorder
T2 - Community mental health journal
TI - "It's more than Just a Job to Them": A Qualitative Examination of Patient and Provider Perspectives on Medication-Assisted Treatment for Opioid Use Disorder
U1 - Education & Workforce; Healthcare Policy; Opioids & Substance Use
U2 - 33844126
U3 - 10.1007/s10597-021-00824-7
VO - 1573-2789; 0010-3853
Y1 - 2021
Y2 - Apr 12
ER -