ArticleJournal of addiction medicine
Using a Learning Collaborative Strategy With Office-based Practices to Increase Access and Improve Quality of Care for Patients With Opioid Use Disorders.
Article in Journal of addiction medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Can feedback approaches reduce unwarranted clinical variation? A systematic rapid evidence synthesis.BMC health services research · 2020Pooled it
- Effectiveness of Washington State's hub and spoke model to improve opioid use disorder outcomes.Health affairs scholar · 2025Article
- Scaling up low barrier wound care for people who use drugs: a mixed methods study.Harm reduction journal · 2025Article
- Integrating MOUD and Primary Care: Outcomes of a Multicenter Learning Collaborative.Family medicine · 2023Article
- Augmenting project ECHO for opioid use disorder with data-informed quality improvement.Addiction science & clinical practice · 2023Article
- Variation in prescribing of opioids for emergency department encounters: A cohort study in the Military Health System.Journal of evaluation in clinical practice · 2022Article
- Stepped implementation-to-target: a study protocol of an adaptive trial to expand access to addiction medications.Implementation science : IS · 2022Article
- Expanding access to medications for opioid use disorder in primary care clinics: an evaluation of common implementation strategies and outcomes.Implementation science communications · 2022Article
- Article
- Implementing a Learning Collaborative for Population-Based Physical and Behavioral Health Integration.Community mental health journal · 2021Article
- Aiming for quality: a global compass for national learning systems.Health research policy and systems · 2021Review
- Increasing Engagement in Post-Withdrawal Management Services Through a Practice Bundle and Checklist.The journal of behavioral health services & research · 2021Article
- Changes in Buprenorphine Treatment After Medicaid Expansion.Psychiatric services (Washington, D.C.) · 2021Article
- "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
- Evaluating the Experience of Organizations Implementing Medication Management Services Using a Variety of Implementation Strategies.Innovations in pharmacy · 2021Article
- Study design to evaluate a group-based therapy for support persons of adults on buprenorphine/naloxone.Addiction science & clinical practice · 2020Article
- Implementation of the hub and spoke model for opioid use disorders in California: Rationale, design and anticipated impact.Journal of substance abuse treatment · 2020Article
- Army and Navy ECHO Pain Telementoring Improves Clinician Opioid Prescribing for Military Patients: an Observational Cohort Study.Journal of general internal medicine · 2019Observational
- Physician engagement: a concept analysis.Journal of healthcare leadership · 2019Article
- Implementing Treatment of Opioid-Use Disorder in Rural Settings: a Focus on HIV and Hepatitis C Prevention and Treatment.Current HIV/AIDS reports · 2018Review
Corrections and comments
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Authors and funding
13 authors.
Funding
Abstract
objectivesRapidly escalating rates of heroin and prescription opioid use have been widely observed in rural areas across the United States. Although US Food and Drug Administration-approved medications for opioid use disorders exist, they are not routinely accessible to patients. One medication, buprenorphine, can be prescribed by waivered physicians in office-based practice settings, but practice patterns vary widely. This study explored the use of a learning collaborative method to improve the provision of buprenorphine in the state of Vermont.
methodsWe initiated a learning collaborative with 4 cohorts of physician practices (28 total practices). The learning collaborative consisted of a series of 4 face-to-face and 5 teleconference sessions over 9 months. Practices collected and reported on 8 quality-improvement data measures, which included the number of patients prescribed buprenorphine, and the percent of unstable patients seen weekly. Changes from baseline to 8 months were examined using a p-chart and logistic regression methodology.
resultsPhysician engagement in the learning collaborative was favorable across all 4 cohorts (85.7%). On 6 of the 7 quality-improvement measures, there were improvements from baseline to 8 months. On 4 measures, these improvements were statistically significant (P < 0.001). Importantly, practice variation decreased over time on all measures. The number of patients receiving medication increased only slightly (3.4%).
conclusionsResults support the effectiveness of a learning collaborative approach to engage physicians, modestly improve patient access, and significantly reduce practice variation. The strategy is potentially generalizable to other systems and regions struggling with this important public health problem.
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Registered trials
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.