Outcomes of a novel office-based opioid treatment program in an internal medicine resident continuity practice
| العنوان: | Outcomes of a novel office-based opioid treatment program in an internal medicine resident continuity practice |
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| المؤلفون: | Ryan Graddy, Megan Buresh, Jarratt D. Pytell |
| المصدر: | Addiction Science & Clinical Practice, Vol 14, Iss 1, Pp 1-7 (2019) Addiction Science & Clinical Practice |
| بيانات النشر: | BMC, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Health Knowledge, Attitudes, Practice, Inservice Training, lcsh:Social pathology. Social and public welfare. Criminology, Narcotic Antagonists, Graduate medical education, MEDLINE, 030508 substance abuse, Office based opioid treatment, lcsh:HV1-9960, 03 medical and health sciences, 0302 clinical medicine, Education, medical, graduate, medicine, Internal Medicine, Opiate Substitution Treatment, Humans, 030212 general & internal medicine, Aged, Retrospective Studies, Office based, lcsh:R5-920, Social work, business.industry, Public health, Research, Internship and Residency, Opioid use disorder, Opioid-related disorder, General Medicine, Middle Aged, medicine.disease, Opioid-Related Disorders, Primary care, 3. Good health, Buprenorphine, Health psychology, Family medicine, Female, 0305 other medical science, business, lcsh:Medicine (General), medicine.drug |
| الوصف: | Background The integration of opioid use disorder (OUD) care and competencies in graduate medical education training is needed. Previous research shows improvements in knowledge, attitudes, and practices after exposure to OUD care. Few studies report outcomes for patients with OUD in resident physician continuity practices. Methods A novel internal office-based opioid treatment (OBOT) program was initiated in a resident continuity clinic. Surveys of resident and staff knowledge and attitudes of OBOT were administered at baseline and 4 months. A retrospective chart review of the 15-month OBOT clinic obtained patient characteristics and outcomes. Results Twelve patients with OUD were seen in the OBOT clinic. Seven patients (58%) were retained in care at the end of the study period for a range of 9–15 months. Eight patients demonstrated a good clinical response. Surveys of residents and staff at 4 months were unchanged from baseline showing persistent lack of comfort in caring for patients with OUD. Conclusions OBOT can be successfully integrated into resident continuity practices with positive patient outcomes. Improvement in resident and staff attitudes toward OBOT were not observed and likely require direct and frequent exposure to OUD care to increase acceptance. |
| اللغة: | English |
| تدمد: | 1940-0640 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::404e7b9e0976c201baf43673255629f4 https://doaj.org/article/1ba3738296864ac2b4ae03af67229253 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....404e7b9e0976c201baf43673255629f4 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19400640 |
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