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10.1016/j.jsat.2020.108124 http://scihub22266oqcxt.onion/10.1016/j.jsat.2020.108124 32893047!7456454!32893047     free     free     free Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       J+Subst+Abuse+Treat 2020 ; 118 (ä): 108124 Nephropedia Template TP {{tp|p=32893047|t=2020. Treatment of opioid use disorder during COVID-19: Experiences of clinicians transitioning to telemedicine |pdf=|usr=}}{{32893047}} gab.com Text Treatment of opioid use disorder during COVID-19: Experiences of clinicians transitioning to telemedicine JO: J Subst Abuse Treat http://www.kidney.de/pget.php?&tw=1&pmid=32893047 #FOAvip OBJECTIVE: The COVID-19 pandemic has transformed care delivery for patients with opioid use disorder (OUD); however, little is known about the experiences of front-line clinicians in the transition to telemedicine. This study described how, in the context of the early stages of the pandemic, clinicians used telemedicine for OUD in conjunction with in-person care, barriers encountered, and implications for quality of care. METHODS: In April 2020, we conducted semistructured interviews with clinicians waivered to prescribe buprenorphine. We used maximum variation sampling. We used standard qualitative analysis techniques, consisting of both inductive and deductive approaches, to identify and characterize themes. RESULTS: Eighteen clinicians representing 10 states participated. Nearly all interview participants were doing some telemedicine, and more than half were only doing telemedicine visits. Most participants reported changing their typical clinical care patterns to help patients remain at home and minimize exposure to COVID-19. Changes included waiving urine toxicology screening, sending patients home with a larger supply of OUD medications, and requiring fewer visits. Although several participants were serving new patients via telemedicine during the early weeks of the pandemic, others were not. Some clinicians identified positive impacts of telemedicine on the quality of their patient interactions, including increased access for patients. Others noted negative impacts including less structure and accountability, less information to inform clinical decision-making, challenges in establishing a connection, technological challenges, and shorter visits. CONCLUSIONS: In the context of the pandemic, buprenorphine prescribers quickly transitioned to providing telemedicine visits in high volume; nonetheless, there are still many unknowns, including the quality and safety of widespread use of telemedicine for OUD treatment. Twit Text FOAVip Treatment of opioid use disorder during COVID-19: Experiences of clinicians transitioning to telemedicine ????J Subst Abuse Treat http://www.kidney.de/pget.php?&tw=1&pmid=32893047 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32893047 #FOAvip English Wikipedia <ref>{{Cite pmid|32893047}}</ref> Treatment of opioid use disorder during COVID-19: Experiences of clinicians transitioning to telemedicine #MMPMID32893047 Uscher-Pines L; Sousa J; Raja P; Mehrotra A; Barnett M; Huskamp HA J Subst Abuse Treat 2020[Nov]; 118 (ä): 108124 PMID32893047show ga OBJECTIVE: The COVID-19 pandemic has transformed care delivery for patients with opioid use disorder (OUD); however, little is known about the experiences of front-line clinicians in the transition to telemedicine. This study described how, in the context of the early stages of the pandemic, clinicians used telemedicine for OUD in conjunction with in-person care, barriers encountered, and implications for quality of care. METHODS: In April 2020, we conducted semistructured interviews with clinicians waivered to prescribe buprenorphine. We used maximum variation sampling. We used standard qualitative analysis techniques, consisting of both inductive and deductive approaches, to identify and characterize themes. RESULTS: Eighteen clinicians representing 10 states participated. Nearly all interview participants were doing some telemedicine, and more than half were only doing telemedicine visits. Most participants reported changing their typical clinical care patterns to help patients remain at home and minimize exposure to COVID-19. Changes included waiving urine toxicology screening, sending patients home with a larger supply of OUD medications, and requiring fewer visits. Although several participants were serving new patients via telemedicine during the early weeks of the pandemic, others were not. Some clinicians identified positive impacts of telemedicine on the quality of their patient interactions, including increased access for patients. Others noted negative impacts including less structure and accountability, less information to inform clinical decision-making, challenges in establishing a connection, technological challenges, and shorter visits. CONCLUSIONS: In the context of the pandemic, buprenorphine prescribers quickly transitioned to providing telemedicine visits in high volume; nonetheless, there are still many unknowns, including the quality and safety of widespread use of telemedicine for OUD treatment. |Buprenorphine/*administration & dosage[MESH] |COVID-19[MESH] |Clinical Decision-Making[MESH] |Coronavirus Infections/*epidemiology/prevention & control[MESH] |Delivery of Health Care/organization & administration/statistics & numerical data[MESH] |Health Personnel/statistics & numerical data[MESH] |Humans[MESH] |Interviews as Topic[MESH] |Opiate Substitution Treatment/statistics & numerical data[MESH] |Opioid-Related Disorders/*therapy[MESH] |Pandemics/prevention & control[MESH] |Pneumonia, Viral/*epidemiology/prevention & control[MESH] |Substance Abuse Detection/statistics & numerical data[MESH]Treatment of opioid use disorder during COVID-19: Experiences of clini(epmc).pdf DeepDyve Pubget Overpricing