Use of telemedicine for opioid use disorder treatment - Perceptions and experiences of opioid use disorder clinicians
| Autor: | Lori Uscher-Pines, Alisa B. Busch, Lauren Riedel, Ateev Mehrotra, Haiden A. Huskamp, Pushpa Raja, Michael L. Barnett |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Telemedicine Coronavirus disease 2019 (COVID-19) Toxicology Article Completion rate Pandemic medicine Humans Pharmacology (medical) Comfort levels Pandemics Reimbursement Pharmacology business.industry SARS-CoV-2 COVID-19 Opioid use disorder medicine.disease Opioid-Related Disorders United States Psychiatry and Mental health Family medicine Perception business Medicaid |
| Zdroj: | Drug Alcohol Depend |
| ISSN: | 1879-0046 |
| Popis: | Objective To understand clinician use of and opinions about telemedicine for opioid use disorder (tele-OUD) during the COVID-19 pandemic. Methods An electronic national survey was administered in fall 2020 to 602 OUD clinicians recruited from WebMD/Medscape’s online panel. The survey completion rate was 97.3 %. Results On average, clinicians reported that 56.9 % of their visits in the last month were via telemedicine (20.3 % via audio-only and 36.6 % via video). Most respondents (N = 376, 62.5 %) agreed that telemedicine has been as effective as in-person care. The majority (N = 535, 88.9 %) were comfortable using video for clinically stable patients, while half (N = 297, 49.3 %) were comfortable using video for patients who are not clinically stable. After the pandemic, most respondents (N = 422, 70.1 %) preferred to return to in-person care for the majority of visits; however, 95.3 % thought telemedicine should be offered in some form. Most (N = 481, 79.9 %) would continue to offer telemedicine if reimbursement were the same as in-person, while 242 (40.2 %) would continue if reimbursement were 25 % lower. Clinicians with more OUD patients used more telemedicine and reported higher comfort levels treating clinically unstable patients, and clinicians with more Medicaid/uninsured patients used more audio-only and preferred to continue using telemedicine post-pandemic. Conclusions Telemedicine made up the majority of OUD visits provided by surveyed clinicians, and the vast majority of clinicians would like the option to offer telemedicine to at least some of their patients in the future if there is adequate reimbursement. These findings can help inform telemedicine’s future role in the treatment of OUD. |
| Databáze: | OpenAIRE |
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