Observational studyJournal of general internal medicine2016
Screening and Follow-Up Monitoring for Substance Use in Primary Care: An Exploration of Rural-Urban Variations.
Observational study in Journal of general internal medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
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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.
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.
Who cites it
17 citing papers in PubMed.
- Referral of patients from rural primary care clinics to telemedicine vendors for opioid use disorder treatment: A mixed-methods study.Journal of telemedicine and telecare · 2025Article
- Partner Violence and Substance-Related Service Use: Differences by HIV Status Among Women.American journal of preventive medicine · 2025Article
- Supporting Unhealthy Substance use care Through a whole person Approach and user centered INtegration into primary care (SUSTAIN): Study protocol for a type 2 hybrid effectiveness-implementation trial.Journal of substance use and addiction treatment · 2025Article
- Rural-urban differences in out-of-network treatment initiation and engagement rates for substance use disorders.Health services research · 2024Article
- Evaluation of a student clinical research education program in addiction medicine.Annals of medicine · 2023Article
- Integrated Behavioral Health in Primary Care Residency and Nonresidency Practices.Family medicine · 2023Article
- A comparison of two strategies to assess sexual violence: general vs. specialised trauma screening strategies in two high-risk substance use health disparity samples.European journal of psychotraumatology · 2023Article
- Sex Differences in Comorbid Mental and Substance Use Disorders Among Primary Care Patients With Opioid Use Disorder.Psychiatric services (Washington, D.C.) · 2022Article
- Impact of the international collaborative addiction medicine research fellowship on physicians' future engagement in addiction research.Substance abuse · 2022Article
- "It's way more than just writing a prescription": A qualitative study of preferences for integrated versus non-integrated treatment models among individuals with opioid use disorder.Addiction science & clinical practice · 2021Article
- Early implementation of screening for substance use in rural primary care: A rapid analytic qualitative study.Substance abuse · 2021Article
- Screening for Substance Use in Rural Primary Care: a Qualitative Study of Providers and Patients.Journal of general internal medicine · 2019Article
- Differences in Receipt of Alcohol-Related Care Across Rurality Among VA Patients Living With HIV With Unhealthy Alcohol Use.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2019Article
- Community pharmacies as access points for addiction treatment.Research in social & administrative pharmacy : RSAP · 2019Article
- Implementing single-item screening for drug use in a Veterans Health Administration outpatient setting.Substance abuse · 2018Article
- Presenting Pattern and Psychiatric Comorbidities in Rural versus Urban Substance Dependent Patients: A Hospital-Based Cross-Sectional Study.Indian journal of community medicine : official publication of Indian Association of Preventive & Social MedicineArticle
- Evaluating the IMPACT WV training portal: Advancing substance use and family support education in rural West Virginia.Digital healthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
backgroundRates of substance use in rural areas are close to those of urban areas. While recent efforts have emphasized integrated care as a promising model for addressing workforce shortages in providing behavioral health services to those living in medically underserved regions, little is known on how substance use problems are addressed in rural primary care settings.
objectiveTo examine rural-urban variations in screening and monitoring primary care- based patients for substance use problems in a state-wide mental health integration program.
designThis was an observational study using patient registry. SUBJECTS: The study included adult enrollees (n = 15,843) with a mental disorder from 133 participating community health clinics. MAIN OUTCOMES: We measured whether a standardized substance use instrument was used to screen patients at treatment entry and to monitor symptoms at follow-up visits. KEY
resultsWhile on average 73.6 % of patients were screened for substance use, follow-up on substance use problems after initial screening was low (41.4 %); clinics in small/isolated rural settings appeared to be the lowest (13.6 %). Patients who were treated for a mental disorder or substance abuse in the past and who showed greater psychiatric complexities were more likely to receive a screening, whereas patients of small, isolated rural clinics and those traveling longer distances to the care facility were least likely to receive follow-up monitoring for their substance use problems.
conclusionsDespite the prevalent substance misuse among patients with mental disorders, opportunities to screen this high-risk population for substance use and provide a timely follow-up for those identified as at risk remained overlooked in both rural and urban areas. Rural residents continue to bear a disproportionate burden of substance use problems, with rural-urban disparities found to be most salient in providing the continuum of services for patients with substance use problems in primary care.
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