TY - JOUR AU - M. C. Lira AU - C. Jimes AU - M. J. Coffey A1 - AB - Introduction: There are limited studies to date on telemedicine treatment outcomes for opioid use disorder (OUD) among rural populations. Methods: This was a retrospective cohort study of rural adults enrolled in telemedicine OUD treatment. Study outcomes were percent retained in care and adherence to buprenorphine assessed by urine drug screens at 1, 3, and 6 months. Results: From April 1, 2020, through January 31, 2022, 1,816 rural patients across 14 states attended an initial telemedicine visit and received a clinical diagnosis of OUD. Participants had the following characteristics: mean age 37.7 years (±8.6); 52.4% female; and 66.7% Medicaid. At 1, 3, and 6 months, 74.8%, 61.5%, and 52.3% of participants were retained in care, and 69.0%, 56.0%, and 49.2% of participants were adherent, respectively. Conclusions: Telemedicine is an effective approach for treating OUD in rural populations, with retention comparable to in-person treatment. AD - Workit Labs, Workit Health, Ann Arbor, Michigan, USA.;Geisinger Commonwealth School of Medicine, Scranton, Pennsylvania, USA. AN - 37184856 BT - Telemed J E Health C5 - Opioids & Substance Use; Healthcare Disparities; HIT & Telehealth; Financing & Sustainability DA - May 15 DO - 10.1089/tmj.2023.0044 DP - NLM ET - 20230515 JF - Telemed J E Health LA - eng N2 - Introduction: There are limited studies to date on telemedicine treatment outcomes for opioid use disorder (OUD) among rural populations. Methods: This was a retrospective cohort study of rural adults enrolled in telemedicine OUD treatment. Study outcomes were percent retained in care and adherence to buprenorphine assessed by urine drug screens at 1, 3, and 6 months. Results: From April 1, 2020, through January 31, 2022, 1,816 rural patients across 14 states attended an initial telemedicine visit and received a clinical diagnosis of OUD. Participants had the following characteristics: mean age 37.7 years (±8.6); 52.4% female; and 66.7% Medicaid. At 1, 3, and 6 months, 74.8%, 61.5%, and 52.3% of participants were retained in care, and 69.0%, 56.0%, and 49.2% of participants were adherent, respectively. Conclusions: Telemedicine is an effective approach for treating OUD in rural populations, with retention comparable to in-person treatment. PY - 2023 SN - 1530-5627 ST - Retention in Telehealth Treatment for Opioid Use Disorder Among Rural Populations: A Retrospective Cohort Study T1 - Retention in Telehealth Treatment for Opioid Use Disorder Among Rural Populations: A Retrospective Cohort Study T2 - Telemed J E Health TI - Retention in Telehealth Treatment for Opioid Use Disorder Among Rural Populations: A Retrospective Cohort Study U1 - Opioids & Substance Use; Healthcare Disparities; HIT & Telehealth; Financing & Sustainability U3 - 10.1089/tmj.2023.0044 VO - 1530-5627 Y1 - 2023 ER -