Clinical outcomes and health care costs among people entering a safer opioid supply program in Ontario

Original research
by
Gomes, Tara; Kolla, Gillian et al

Release Date

2022

Geography

Canada

Language of Resource

English

Full Text Available

Yes

Open Access / OK to Reproduce

Yes

Peer Reviewed

Yes

Objective

London InterCommunity Health Centre (LIHC) launched a safer opioid supply (SOS) program in 2016, where clients are prescribed pharmaceutical opioids and provided with comprehensive health and social supports. We sought to evaluate the impact of this program on health services utilization and health care costs.

Findings/Key points

In the time series analysis, rates of ED visits, hospital admissions, and health care costs not related to primary care or outpatient medications  declined significantly after entry into the SOS program (n = 82), with no significant change in rates of infections. In the year after cohort entry, the rate of ED visits, hospital admissions, admissions for incident infections and total health care costs not related to primary care or outpatient medications declined significantly among SOS clients compared with the year before. We observed no significant change in any of the primary outcomes among unexposed individuals (n = 303).

Design/methods

Interrupted time series analysis

Keywords

Evidence base
Safer supply
Outcomes
Wrap-around services
About PWUD
Transitions in care/treatment
Hospitals
Advocacy