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01-06-2019 | Addiction | Capsule Commentary

Capsule Commentary on Wakeman et al., Effect of Integrating Substance Use Disorder Treatment into Primary Care on Inpatient and Emergency Department Utilization

Author: Jared W. Klein, MD, MPH

Published in: Journal of General Internal Medicine | Issue 6/2019

Excerpt

Wakeman and colleagues [1] performed a retrospective cohort study exploring associations between deployment of integrated addiction treatment across a large primary care network and acute care utilization. Patients exposed to the multi-modal intervention (recovery coaches, local champions, use of medications for addiction treatment, and availability of expert consultation) were compared to matched control patients in practices with usual care, including referral for addiction treatment. The authors found an association between availability of the intervention and lower levels of acute care utilization, specifically shorter hospital stays and fewer ER visits; however, this came at the expense of significantly more primary care visits. …

Wakeman SE, Rigotti NA, Chang Y, Herman GE, Erwin A, Regan S, Metlay JP. Effect of integrating substance use disorder treatment into primary care on inpatient and emergency department utilization. J Gen Intern Med. 2019. https://doi.org/10.1007/s11606-018-4807-x.

Volkow ND, Frieden TR, Hyde PS, Cha SS. Medication-Assisted Therapies – Tackling the Opioid-Overdose Epidemic. N Engl J Med. 2014;370:2063–66.CrossRefPubMed

Bassuk EL, Hanson J, Greene RN, Richard M, Laudet A. Peer-Delivered Recovery Support Services for Addictions in the United States: A Systematic Review. J Subst Abuse Treat. 2016;63:1–9.CrossRefPubMed

American Society of Addiction Medicine (ASAM). Public Policy Statement on the Addiction Medicine Physician Participation in and Leadership of Multidisciplinary Care Teams. 2016. Available at https://www.asam.org/docs/default-source/public-policy-statements/multidisciplinary-care-teams-final-jan-2016.pdf?sfvrsn=14d670c2_0. Accessed January 11, 2019.

Osborn R, Moulds D, Schneider EC, Doty MM, et al. Primary Care Physicians in Ten Countries Report Chellenges Caring for Patients with Complex Health Needs. Health Affairs 34(12); 2104–12.

Title: Capsule Commentary on Wakeman et al., Effect of Integrating Substance Use Disorder Treatment into Primary Care on Inpatient and Emergency Department Utilization
Author: Jared W. Klein, MD, MPH
Publication date: 01-06-2019
Publisher: Springer US
Keywords: Addiction
Care
Addiction
Published in: Journal of General Internal Medicine / Issue 6/2019
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI: https://doi.org/10.1007/s11606-019-04919-6

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