Factors Affecting Initiation and Retention of Medication-Assisted Recovery (MAR) within a Pilot Pharmacist-Involved Practice Model at a Federally Qualified Healthcare Center (FQHC) during the COVID-19 Pandemic.

Autor:	Nguyen T; Department of Pharmacy Administration, Institute for Health Equity, AltaMed Health Services, Los Angeles, CA 90040, USA.; Department of Pharmacy Practice, Chapman University School of Pharmacy, Irvine, CA 92618, USA., Cheetham TC; Chapman University School of Pharmacy, Irvine, CA 92618, USA., Fawaz S; Department of Biomedical and Pharmaceutical Sciences, Chapman University School of Pharmacy, Irvine, CA 92618, USA., Beuttler R; Chapman University School of Pharmacy, Irvine, CA 92618, USA., Xavioer S; Department of Pharmacy Practice, Chapman University School of Pharmacy, Irvine, CA 92618, USA.; HIV Services, AltaMed Health Services, Anaheim, CA 92801, USA.
Jazyk:	angličtina
Zdroj:	Healthcare (Basel, Switzerland) [Healthcare (Basel)] 2023 May 11; Vol. 11 (10). Date of Electronic Publication: 2023 May 11.
DOI:	10.3390/healthcare11101393
Abstrakt:	Background: During the COVID-19 pandemic, opioid-related overdose deaths increased. Although Medication-Assisted Treatment or Recovery (MAT or MAR) is available, initiation and retention rates vary. The goal of this study was to evaluate clinical, demographic, and Social Determinant of Health factors affecting MAR initiation, on-time initiation of medications, and successful retention in the program. The secondary goal was to evaluate the impact of a novel interprofessional practice model incorporating pharmacists. Methods: A retrospective analysis was conducted using electronic health record data from a pilot MAR Program initiated within a California Federally Qualified Healthcare Center. Results: From September 2019 to August 2020, 48 patients enrolled into the program. On-time initiation of medications occurred in 68% of patients and average program retention was 96.4 ± 95.8 days. Patients currently using opioids ( p = 0.005) and those receiving supportive medications ( p = 0.049) had lower odds of on-time MAR initiation. There were no statistically significant factors associated with successful retention in the program. The number of visits with members of the interprofessional team did not significantly affect on-time initiation or successful retention. Conclusions: Current opioid use and receipt of supportive medications were associated with lower on-time medication initiation. Further studies are warranted to explore additional factors which may affect initiation and retention.
Databáze:	MEDLINE
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