Sustaining alcohol and opioid use disorder treatment in primary care: a mixed methods study
Autor: | Chau Pham, Colleen M. McCullough, Allison J. Ober, Sarah B. Hunter, Katherine E. Watkins, Erik D. Storholm, Praise O. Iyiewuare |
---|---|
Rok vydání: | 2018 |
Předmět: |
Adult
Mixed methods Health Informatics Health informatics Health administration 03 medical and health sciences 0302 clinical medicine Nursing Intervention (counseling) Humans Medicine 030212 general & internal medicine Health policy lcsh:R5-920 Behavioral health care integration Primary Health Care Delivery of Health Care Integrated business.industry Research Sustainment 030503 health policy & services Health Policy Public Health Environmental and Occupational Health Health services research Opioid use disorder General Medicine Opioid-Related Disorders medicine.disease Focus group 3. Good health Integrated care Alcoholism Child Preschool Evidence-Based Practice Female lcsh:Medicine (General) 0305 other medical science business |
Zdroj: | Implementation Science, Vol 13, Iss 1, Pp 1-11 (2018) Implementation Science : IS |
ISSN: | 1748-5908 |
Popis: | Background Efforts to integrate substance use disorder treatment into primary care settings are growing. Little is known about how well primary care settings can sustain treatment delivery to address substance use following the end of implementation support. Methods Data from two clinics operated by one multi-site federally qualified health center (FQHC) in the US, including administrative data, staff surveys, interviews, and focus groups, were used to gather information about changes in organizational capacity related to alcohol and opioid use disorder (AOUD) treatment delivery during and after a multi-year implementation intervention was executed. Treatment practices from the intervention period were compared to practices after the intervention period to examine whether the practices were sustained. Data from staff surveys and interviews were used to examine the factors related to sustainment. Results The two clinics sustained multiple components of AOUD care 1 year following the end of implementation support, including care coordination, psychotherapy, and medication-assisted treatment. Some of the practices were modified over time, for example, screening became less frequent by design, while use of care coordination and psychotherapy for AOUDs expanded. Participants identified staff training and funding for medications as key challenges to sustaining treatment. Conclusions Following a multi-year implementation intervention, a large FQHC continued to deliver AOUD treatment. Access to external funding and staff support appeared to be critical elements for sustaining care over time. Trial registration clinicaltrials.gov identifier: NCT01810159 |
Databáze: | OpenAIRE |
Externí odkaz: |