Hospital Buprenorphine Program for Opioid Use Disorder Is Associated With Increased Inpatient and Outpatient Addiction Treatment

被引:31
作者
Christian, Nicholaus [1 ]
Bottner, Richard [1 ]
Baysinger, Amber [2 ]
Boulton, Alanna [1 ]
Walker, Blair [3 ]
Valencia, Victoria [1 ]
Moriates, Christopher [1 ]
机构
[1] Univ Texas Austin, Dept Internal Med, Dell Med Sch, Austin, TX 78712 USA
[2] Univ Calif Los Angeles, Dept Psychiat, Semel Inst Neurosci & Human Behav, Los Angeles, CA USA
[3] Univ Texas Austin, Dept Psychiat, Dell Med Sch, Austin, TX 78712 USA
关键词
D O I
10.12788/jhm.3591
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Despite evidence that medications for patients with opioid use disorder (OUD) reduce mortality and improve engagement in outpatient addiction treatment, these life-saving medications are underutilized in the hospital setting. This study reports the outcomes of the B-Team (Buprenorphine-Team), a hospitalist-led interprofessional program created to identify hospitalized patients with OUD, initiate buprenorphine in the inpatient setting, and provide bridge prescription and access to outpatient treatment programs. During the first 2 years of the program, the B-Team administered buprenorphine therapy to 132 patients in the inpatient setting; 110 (83%) of these patients were bridged to an outpatient program. Of these patients, 65 patients (59%) were seen at their first outpatient appointment; 42 (38%) attended at least one subsequent appointment 1 to 3 months after discharge from the hospital; 29 (26%) attended at least one subsequent appointment between 3 and 6 months after discharge; and 24 (22%) attended at least one subsequent appointment after 6 months. This model is potentially replicable at other hospitals because it does not require dedicated addiction medicine expertise. (C) 2021 Society of Hospital Medicine.
引用
收藏
页码:345 / 348
页数:4
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