Evidence map›Paper›PMID 28481144›Full record

ArticleJournal of addictive diseases

Patients' perspectives on care management services for complex substance use disorders.

Eric J Hawkins, Aline M K Lott, Carol A Malte, Anissa N Frank, Brittney Hamilton, George G Sayre, Janelle M Painter, John S Baer

Abstract read
In one paragraph

Article in Journal of addictive diseases. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
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

8 authors.

Eric J Hawkinsa VA Puget Sound Healthcare System , Seattle , Washington , USA.
Aline M K Lotta VA Puget Sound Healthcare System , Seattle , Washington , USA.
Carol A Maltea VA Puget Sound Healthcare System , Seattle , Washington , USA.
Anissa N Franka VA Puget Sound Healthcare System , Seattle , Washington , USA.
Brittney Hamiltona VA Puget Sound Healthcare System , Seattle , Washington , USA.
George G Sayrea VA Puget Sound Healthcare System , Seattle , Washington , USA.
Janelle M Paintera VA Puget Sound Healthcare System , Seattle , Washington , USA.
John S Baera VA Puget Sound Healthcare System , Seattle , Washington , USA.

Funding

Collaborative Care Management for Complex, Recurrent Substance Use DisordersI21HX001306 · VA · VA PUGET SOUND HEALTHCARE SYSTEM · PI HAWKINS, ERIC · 2015 to 2015
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HSRD VA I21 HX001306
6 · The paper itself

Abstract

Although care management approaches have potential to improve clinical outcomes and reduce high health care costs of patients with complex substance use disorders, characterized by high psychosocial, psychological, and/or medical needs and high acute health care utilization, little is known about patients' perspectives or experiences with these interventions. The objectives of this study were to identify barriers and facilitators to patient engagement in care management services for complex substance use disorders from patients' perspectives. This pilot study invited 22 men with complex substance use disorders and high health care utilization who were enrolled in a 1-year open trial of a Care Management Model to complete semi-structured interviews at 1- and 3-months post-baseline. Interviews were recorded, transcribed, and analyzed using template analysis. Five themes related to engagement were identified: barriers to conventional substance use disorder treatment, facilitators of care management services, patient-provider relationship, patient-related factors, and enhancements to a Care Management Model. Results highlighted the importance of the patient-provider relationship, individual visits with providers, flexible and personalized treatment, and a focus on recovery over abstinence in promoting patient engagement in care management services. Results also highlighted a need for increased outreach and assistance with housing and transit to treatment. Patients' perspectives support key elements of the care management services that are designed to facilitate patient engagement and suggest the need for additional outreach and assistance with obtaining shelter and transportation. Additional research is needed to evaluate if care management approaches enhance retention, improve outcomes, and reduce health care utilization of patients with complex and chronic substance use disorders.

Indexed as

Patient Care ManagementPatient SatisfactionAdultAgedEmergency Service, HospitalHumansInterviews as TopicMaleMiddle AgedPatient Acceptance of Health CarePilot ProjectsProfessional-Patient RelationsPsychiatric Status Rating ScalesSubstance-Related DisordersWashingtoncare managementchronic substance use disordersComplex substance use disordershigh utilizationpatient perspective

Identifiers

PMID28481144
PMCPMC9870041

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.