A Hospital-Based Intervention to Improve Access to Buprenorphine for Patients with Opioid Use Disorder

Report
by
Fine, Matthew et al

Release Date

2024

Geography

USA

Language of Resource

English

Full Text Available

No

Open Access / OK to Reproduce

No

Peer Reviewed

Yes

Objective

This paper describes a novel, volunteer physician-led interprofessional approach to identifying patients with opioid use disorder (OUD), initiating buprenorphine, and linking to office-based opioid treatment.

Findings/Key points

Over a 2-year period, 178 patients were evaluated, 88 were eligible for inpatient buprenorphine, and 47 were started on buprenorphine while hospitalized. This intervention represents a proof of principle, adaptable model for identifying patients with OUD and engaging patients in primary care-based buprenorphine treatment.

Design/methods

The intervention took place from April 2018 to August 2020 at a large, urban, tertiary care center and teaching hospital in New York, NY that does not have an addiction consult service. Hospitalized patients with OUD were identified by provider-driven referrals or an automated daily patient list generated by a bioinformatics search algorithm. Eligible patients with OUD were started on buprenorphine during their hospitalization and linked to primary care-based buprenorphine treatment. Patients were followed longitudinally.

Keywords

Clinical guidance
Hospitals
Transitions in care/treatment
Substitution/OAT