Release Date
Geography
Language of Resource
Full Text Available
Open Access / OK to Reproduce
Peer Reviewed
Objective
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.
Findings/Key points
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.
Design/methods
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
