Predictors of Medication Utilization for Opioid Use Disorder Among Medicaid‐Insured HIV Patients in New York

Autor:	Charles J. Neighbors, Mona Goyal, Rajeev Yerneni, Shannon Healy, Sugy Choi
Rok vydání:	2020
Předmět:	Adult Male 0301 basic medicine medicine.medical_specialty Adolescent Population New York MEDLINE Medicine (miscellaneous) HIV Infections Logistic regression Article 03 medical and health sciences 0302 clinical medicine Pharmacotherapy Opiate Substitution Treatment Humans Medicine 030212 general & internal medicine education Aged Aged 80 and over education.field_of_study Medicaid business.industry Opioid use disorder Middle Aged Opioid-Related Disorders medicine.disease 030112 virology Drug Utilization United States Buprenorphine Analgesics Opioid Psychiatry and Mental health Clinical Psychology Logistic Models Family medicine Female business Methadone medicine.drug
Zdroj:	Am J Addict
ISSN:	1521-0391 1055-0496
Popis:	Background and objectives This paper investigates the prevalence and predictors for opioid use disorder (OUD) pharmacotherapy utilization for Medicaid-insured patients with human immunodeficiency virus (HIV) in New York. Methods We identified patients with HIV and OUD in 2014 in the New York State Medicaid claims data (n = 5621). The claims were used to identify individual client medication for addiction treatment (MAT) utilization, demographic information, and other medical and psychiatric health conditions. The logistic regression analyses were performed to explore the potential predictors of MAT service utilization among people with HIV and OUD. Results Of 5621 identified patients with HIV and OUD, 3647 (65%) received some type of MAT. Eighty-seven percent of treated patients received methadone while 10% received buprenorphine and 3% utilized both the therapies. Conclusions and scientific significance A substantial number of patients with HIV and OUD did not receive MAT. Findings suggest that there are opportunities to improve OUD care for patients with HIV and OUD, particularly among the younger generation, blacks, individuals living outside of New York City, and among those with serious psychiatric conditions. This initial study suggests that an additional research is needed to better understand how the gap in care affects this population. (Am J Addict 2020;29:151-154).
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d9a7af0a69fabaa3b959ae3f92a7fa65 https://doi.org/10.1111/ajad.12998 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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