Evidence map›Paper›PMID 22810057›Full record

ArticleJournal of addiction medicine2012

Financial factors and the implementation of medications for treating opioid use disorders.

Hannah K Knudsen, Paul M Roman

Abstract read
In one paragraph

Article in Journal of addiction medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Routes of non-traditional entry into buprenorphine treatment programs.Substance abuse treatment, prevention, and policy · 2020
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  12. Comparing Canadian and United States opioid agonist therapy policies.The International journal on drug policy · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Hannah K KnudsenDepartment of Behavioral Science, Center on Drug and Alcohol Research, University of Kentucky, Lexington, KY 40536, USA. Hannah.Krudsen@uky.edu
Paul M Roman
University of Kentucky · US

Funding

CTN Membership and Adoption of Innovative Tx PracticesR01DA014482 · NIDA · UNIVERSITY OF GEORGIA (UGA) · PI ROMAN, PAUL M · 2001 to 2011
$8.0M
NIDA NIH HHS R01 DA014482NIDA NIH HHS R01DA14482
6 · The paper itself

Abstract

objectivesDespite the established effectiveness of pharmacotherapies for treating opioid use disorders, implementation of medications for addiction treatment (MAT) by specialty treatment programs is limited. This research examined relationships between organizational factors and the program-level implementation of MAT, with attention paid to specific sources of funding, organizational structure, and workforce resources.

methodsFace-to-face structured interviews were conducted in 2008 to 2009 with administrators of 154 community-based treatment programs affiliated with the National Institute on Drug Abuse's Clinical Trials Network; none of these programs exclusively dispensed methadone without offering other levels of care. Implementation of MAT was measured by summing the percentages of opioid patients receiving buprenorphine maintenance, methadone maintenance, and tablet naltrexone. Financial factors included the percentages of revenues received from Medicaid, private insurance, criminal justice, the Federal block grant, state government, and county government. Organizational structure and workforce characteristics were also measured.

resultsImplementation of MAT for opioid use disorders was low. Greater reliance on Medicaid was positively associated with implementation after controlling for organizational structure and workforce measures, whereas the association for reliance on criminal justice revenues was negative.

conclusionsThe implementation of MAT for opioid use disorders by specialty addiction treatment programs may be facilitated by Medicaid but may be impeded by reliance on funding from the criminal justice system. These findings point to the need for additional research that considers the impact of organizational dependence on different types of funding on patterns of addiction treatment practice.

Indexed as

BuprenorphineCommunity Mental Health CentersCriminal LawFinancing, GovernmentHealth Plan ImplementationHealth WorkforceHumansInsurance CoverageMedicaidMethadoneNaloxoneOpiate Substitution TreatmentOpioid-Related DisordersPatient Care TeamSubstance Abuse Treatment CentersUnited StatesBuprenorphineMethadoneNaloxone

Identifiers

PMID22810057
PMCPMC3492536
OpenAlexW2090943832

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.