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10.1080/08897077.2020.1809609

http://scihub22266oqcxt.onion/10.1080/08897077.2020.1809609
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suck abstract from ncbi


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pmid32936695      Subst+Abus 2020 ; 41 (4): 413-418
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  • Response to coronavirus 2019 in Veterans Health Administration facilities participating in an implementation initiative to enhance access to medication for opioid use disorder #MMPMID32936695
  • Gustavson AM; Gordon AJ; Kenny ME; McHenry H; Gronek J; Ackland PE; Hagedorn HJ
  • Subst Abus 2020[]; 41 (4): 413-418 PMID32936695show ga
  • The actions needed to mitigate the spread of the coronavirus 2019 (COVID-19) have forged rapid paradigm shifts across healthcare delivery. In a time of crisis, continued access to and delivery of medication for opioid use disorder (M-OUD) is essential to save lives. However, prior to COVID-19, large variability in M-OUD adoption existed across the Veteran Health Administration (VHA) and it is unknown whether the COVID-19 pandemic exacerbated this divide. For the past two years, our team worked with eight VHA facilities to enhance adoption of M-OUD through a multi-component implementation intervention. This commentary explores these providers' responses to COVID-19 and the subsequent impact on their progress toward increasing adoption of M-OUD. Briefly, the loosening of regulatory restrictions fostered accelerated adoption of M-OUD, rapid support for telehealth offered a mechanism to increase M-OUD access, and reevaluation of current practices surrounding M-OUD strengthened adoption. Overall, during the COVID-19 crisis, facilities and providers responded positively to the call for increased access to M-OUD and appropriate care of patients with OUD. The VHA providers' responses and continued progress in enhancing M-OUD amidst a crisis may, in part, be attributable to their participation in an implementation effort prior to COVID-19 that established resources, expert support, and a community of practice. We anticipate the themes presented are generalizable to other healthcare systems grappling to deliver care to patients with OUD during a crisis. We propose areas of future research and quality improvement to continue to provide access and high quality, life-saving care to patients with OUD.
  • |*COVID-19[MESH]
  • |*Health Services Accessibility[MESH]
  • |*Quality Improvement[MESH]
  • |Buprenorphine/therapeutic use[MESH]
  • |Humans[MESH]
  • |Opiate Substitution Treatment/*statistics & numerical data[MESH]
  • |Opioid-Related Disorders/drug therapy[MESH]
  • |Pandemics[MESH]
  • |Program Development/*methods[MESH]
  • |SARS-CoV-2[MESH]
  • |United States[MESH]


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