Evidence map›Paper›PMID 32600625›Full record

ArticleJournal of substance abuse treatment2020

Health center implementation of telemedicine for opioid use disorders: A qualitative assessment of adopters and nonadopters.

Lori Uscher-Pines, Pushpa Raja, Ateev Mehrotra, Haiden A Huskamp

Open access · greenAbstract read
In one paragraph

Article in Journal of substance abuse treatment, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 10% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Telemedicine Implementation for Safety Net Populations: A Systematic Review.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024
    Pooled it
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  5. Telehealth Utilization for Opioid Use Disorder: A Nationwide Analysis Before and After the COVID-19 Public Health Emergency Declaration.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024
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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

4 authors at 3 institutions in 1 country.

Lori Uscher-PinesRAND Corporation, Arlington, VA, United States of America. Electronic address: luscherp@rand.org.
Pushpa RajaLos Angeles VA Medical Center, Los Angeles, CA, United States of America.
Ateev MehrotraDepartment of Health Care Policy, Harvard Medical School, Boston, MA, United States of America; Beth Israel Deaconess Medical Center, Boston, MA, United States of America.
Haiden A HuskampDepartment of Health Care Policy, Harvard Medical School, Boston, MA, United States of America.
Harvard University · USLos Angeles Medical Center · USRAND Corporation · US

Funding

Telemedicine for Treatment of Opioid Use Disorder: NIDA Summer Research Internship ProgramR01DA048533 · NIDA · HARVARD MEDICAL SCHOOL · PI Haiden A Huskamp, Ateev Mehrotra · 2019 to 2026
$5.6M
NIDA NIH HHS R01 DA048533
6 · The paper itself

Abstract

objectiveAlthough use of telemedicine for the treatment of opioid use disorders (Tele-OUD) is growing, there is limited research on how it is actually being deployed in treatment. We explored how health centers across the U.S. are using tele-OUD in treatment as well as reasons for nonadoption.

methodsWe used the 2018 SAMHSA Behavioral Health Treatment Services Locator database and literature review to create a sample of community mental health centers and federally qualified health centers with telemental health services. From this list of health centers, we ued maximum diversity sampling to identify and recruit health center leaders to participate in semistructured interviews. We used inductive and deductive approaches to develop site summaries.

resultsTwenty-two health centers from 14 different states participated. Of these, 8 offered tele-OUD. Among centers with tele-OUD, medication management was the most common service provided via video. Typically, health centers offered telemedicine visits after an initial, in-person visit with a waivered (prescribing) provider. Some programs only offered counseling via telemedicine. Leading barriers to treatment that tele-OUD program representatives mentioned included regulations on the prescribing of controlled substances, including buprenorphine, and difficulties in sending lab results to distant (prescribing) providers. Nonadopters reported not offering tele-OUD due to regulations in controlled substance prescribing, complexities and regulatory barriers to offering group visits, and the belief that in-person OUD services were meeting patient need.

conclusionsTele-OUD is being deployed in a variety of ways. Describing current delivery models can inform strategies to promote and implement tele-OUD to combat the opioid epidemic.

Indexed as

BuprenorphineOpioid-Related DisordersTelemedicineAnalgesics, OpioidHumansOpiate Substitution TreatmentAnalgesics, OpioidBuprenorphineOpioid use disorderSubstance use disorderTelehealthTelemedicineTelemental healthTele-OUDTele-SUD

Identifiers

PMID32600625
PMCPMC7327134
OpenAlexW3024619408

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.