Evidence map›Paper›PMID 28930061›Full record

ArticleJournal of studies on alcohol and drugs2017

Promoting Adoption of Medication for Opioid and Alcohol Use Disorders Through System Change.

James H Ford, Amanda J Abraham, Nicoleta Lupulescu-Mann, Raina Croff, Kim A Hoffman, Kelly Alanis-Hirsch, Mady Chalk, Laura Schmidt, Dennis McCarty

Abstract read
In one paragraph

Article in Journal of studies on alcohol and drugs, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

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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

9 authors.

James H FordCenter for Health Systems Research and Analysis, University of Wisconsin-Madison, Madison, Wisconsin.
Amanda J AbrahamDepartment of Public Administration and Policy, School of Public and International Affairs, University of Georgia, Athens, Georgia.
Nicoleta Lupulescu-MannCenter for Health Systems Effectiveness, Oregon Health & Science University, Portland, Oregon.
Raina CroffOHSU-PSU School of Public Health, Oregon Health & Science University, Portland, Oregon.
Kim A HoffmanOHSU-PSU School of Public Health, Oregon Health & Science University, Portland, Oregon.
Kelly Alanis-Hirsch2M Research Services, Raleigh-Durham, North Carolina.
Mady ChalkThe Chalk Group, Washington, D.C.
Laura SchmidtSchool of Medicine, University of California at San Francisco, San Francisco, California.
Dennis McCartyOHSU-PSU School of Public Health, Oregon Health & Science University, Portland, Oregon.

Funding

Western States Node of the National Drug Abuse Treatment Clinical Trials Network (TMS for CUD) UG1DA015815 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Keith N. Humphreys, Philip Todd Korthuis · 2015 to 2026
$24.6M
Traditional Service Core [Translational Service Core (TSC)]P50DA018165 · NIDA · OREGON HEALTH & SCIENCE UNIVERSITY · PI PHILLIPS, TAMARA J. · 2006 to 2016
$13.0M
Integrating Addiction Treatment and Medical Care in a Commercial Health PlanR01DA029716 · NIDA · OREGON HEALTH & SCIENCE UNIVERSITY · PI MCCARTY, DENNIS · 2011 to 2015
$3.3M
To Test A Payer/Treatment Agency Intervention to Increase Use of BuprenorphineR01DA030431 · NIDA · UNIVERSITY OF WISCONSIN-MADISON · PI MOLFENTER, TODD DAVID · 2012 to 2016
$2.9M
Oregon's Coordinated Care Organizations Integrate Care for Drug Use DisordersR33DA035640 · NIDA · OREGON HEALTH & SCIENCE UNIVERSITY · PI LIND, BONNIE · 2014 to 2017
$2.4M
NIDA NIH HHS P50 DA018165NIDA NIH HHS R01 DA029716NIDA NIH HHS R01 DA030431NIDA NIH HHS R33 DA035640NIDA NIH HHS UG1 DA015815
6 · The paper itself

Abstract

objectiveThe Medication Research Partnership (MRP), a collaboration between a national commercial health plan and nine addiction treatment centers, implemented organizational and system changes to promote use of federally approved medications for treatment of alcohol and opioid use disorders.

methodA difference-in-differences analysis examined change over time in the percentage of patients receiving a prescription medication for alcohol or opioid use disorders treated in MRP (n = 9) and comparison (n = 15) sites.

resultsMRP clinics experienced a 2.4-fold increase in patients receiving an alcohol or opioid prescription (13.2% at baseline to 31.7% at 3 years after MRP initiation); comparison clinics experienced significantly less change (17.6% to 23.5%) with an adjusted difference-in-differences of 12.5% (95% CI [5.4, 19.6], p = .001). MRP sites increased the patients with prescriptions to treat opioid use disorder from 17.0% (baseline) to 36.8% (3 years after initiation), with smaller changes observed in comparison sites (23.2% to 24.0%) and a 3-year post-initiation adjusted difference-in-differences of 19% (95% CI [8.5, 29.5], p = .000). Medications for alcohol use disorders increased in both MRP (9.0% to 26.5%) and comparison sites (11.4% to 23.1%).

conclusionsPromoting the use of medications to support recovery required complex interventions. The Advancing Recovery System Change Model, initially developed in publicly funded systems of care, was successfully adapted for commercial sector use. The model provides a framework for providers and commercial health plans to collaborate and increase patient access to medications.

Indexed as

AlcoholismAnalgesics, OpioidFemaleHumansMaleOpioid-Related DisordersAnalgesics, Opioid

Identifiers

PMID28930061
PMCPMC5675424

What OpenQuestion holds

Textmetadata
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.