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Expanding access to medication treatment for opioid use disorders: Findings from the Washington State hub and spoke effort.
Stewart, Maureen T; Daily, Shay M; Thomas, Cindy Parks; Panas, Lee; Ritter, Grant; Reif, Sharon.
Afiliación
  • Stewart MT; Institute for Behavioral Health, Heller School for Social Policy and Management, Brandeis University, 415 South Street MS 035, Waltham, MA 02453, USA. Electronic address: mstewart@brandeis.edu.
  • Daily SM; Institute for Behavioral Health, Heller School for Social Policy and Management, Brandeis University, 415 South Street MS 035, Waltham, MA 02453, USA.
  • Thomas CP; Institute for Behavioral Health, Heller School for Social Policy and Management, Brandeis University, 415 South Street MS 035, Waltham, MA 02453, USA.
  • Panas L; Institute for Behavioral Health, Heller School for Social Policy and Management, Brandeis University, 415 South Street MS 035, Waltham, MA 02453, USA.
  • Ritter G; Institute for Behavioral Health, Heller School for Social Policy and Management, Brandeis University, 415 South Street MS 035, Waltham, MA 02453, USA.
  • Reif S; Institute for Behavioral Health, Heller School for Social Policy and Management, Brandeis University, 415 South Street MS 035, Waltham, MA 02453, USA.
Drug Alcohol Depend ; 256: 111125, 2024 Mar 01.
Article en En | MEDLINE | ID: mdl-38368666
ABSTRACT

BACKGROUND:

Opioid use disorder (OUD) is a leading cause of preventable death and injury nationwide. Efforts to increase the use of medication for opioid use disorder (MOUD) are needed. In 2017, Washington State implemented a Hub and Spoke (HS) model of care with the primary goal of expanding access to MOUD. We examined changes in MOUD utilization among Washington State Medicaid beneficiaries before and after HS implementation.

METHODS:

We used Medicaid claims data to examine longitudinal changes in MOUD use for beneficiaries with OUD. We conducted a comparative interrupted time series analysis to examine the association between HS policy implementation and rates of MOUD utilization, overall and by type of medication.

RESULTS:

Between 2016 and 2019, a period of increasing OUD prevalence, rates of MOUD utilization among Washington Medicaid beneficiaries increased overall from 39.7 to 50.5. Following HS implementation, rates of MOUD use grew at a significantly greater rate in the HS cohort than in the non-HS cohort (ß=0.54, SE=0.02, p< 0.0001, 95% CI 0.49, 0.59). Analyses by medication type show that this rate increase was primarily due to buprenorphine use (ß= 0.61, SE= 0.02, p< 0.0001, 95% CI 0.57, 0.65).

CONCLUSION:

Improved systems of care are needed to make MOUD accessible to all patients in need. The Washington HS model is one strategy that may facilitate and expand MOUD use, particularly buprenorphine. Over the study period, Washington State saw increased use of buprenorphine, which was an emphasis of their HS model.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Buprenorfina / Trastornos Relacionados con Opioides Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Drug Alcohol Depend Año: 2024 Tipo del documento: Article Pais de publicación: Irlanda
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Buprenorfina / Trastornos Relacionados con Opioides Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Drug Alcohol Depend Año: 2024 Tipo del documento: Article Pais de publicación: Irlanda