Treatment access for opioid use disorder in pregnancy among rural and American Indian communities

Original research
par
Kelley, A. Taylor 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

Opioid use disorder (OUD) in pregnancy disproportionately impacts rural and American Indian (AI) communities. With limited data available about access to care for these populations, this study's objective was to assess clinic knowledge and new patient access for OUD treatment in three rural U.S. counties.

Constatations/points à retenir

Treatment access for OUD in pregnancy in three rural counties was limited. Clinic unfamiliarity with OUD treatment and where to refer for care was common. Most referrals did not result in access to buprenorphine treatment. Referral driving distance varied widely and many referrals crossed state lines. No differences were observed between white and American Indian patients.

La conception ou méthodologie de recherche

Unannounced standardized patients made 34 calls to 17 clinics, including 4 with publicly listed buprenorphine prescribers on the Substance Abuse and Mental Health Services Administration website

Mots clés

About prescribers
Barriers and enablers
Indigenous
Rural/remote
Substitution/OAT
Sex/Gender
Parents/caregivers