Implementation of buprenorphine initiation and warm handoff protocols in emergency departments: A qualitative study of Pennsylvania hospitals

Original research
par
Patel, Esita et al

Date de publication

2021

Géographie

USA

Langue de la ressource

English

Texte disponible en version intégrale

Non

Open Access / OK to Reproduce

Non

Évalué par des pairs

Yes

L’objectif

We examined hospital staff's perspectives on the processes, challenges, and facilitators to buprenorphine initiation and warm handoff protocols in the ED

Constatations/points à retenir

Factors at the hospital-level that influenced implementation success included supporting interdisciplinary OUD care champions, addressing knowledge gaps and biases around patients with OUD, having data systems that capture OUD care and integrate clinical protocols, incorporating patient comorbidities and non-medical needs into care, and fostering community provider linkages and capacity for warm handoffs.

La conception ou méthodologie de recherche

6 hospitals, purposive sampling, 21 key informant interviews

Mots clés

Overdose
Wrap-around services
About prescribers
Substitution/OAT
Transitions in care/treatment
Stigma
Hospitals