ArticleGeneral hospital psychiatry
Hospital policies for opioid use disorder treatment: A policy content analysis and environmental scan checklist.
Article in General hospital psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Improving opioid substitution therapy in the acute hospital setting: implementation of a best practice guideline.BMJ open quality · 2026Article
- Frame Shift: Focusing on Harm Reduction and Shared Decision Making for People Who Use Drugs Hospitalized With Infections.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024Article
- Article
- Design and protocol of the Buprenorphine plus Outpatient Parenteral Antimicrobial Therapy (B-OPAT) study: a randomized clinical trial of integrated outpatient treatment of opioid use disorder and severe, injection-related infections.Therapeutic advances in infectious diseaseArticle
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Authors and funding
3 authors.
Funding
Abstract
objectiveHospital-based delivery of opioid agonist therapy ([OAT]; buprenorphine, methadone) is an often-overlooked component of the opioid use disorder (OUD) care continuum. Hospitals are complex clinical environments and organizational policies may inform access to care. This study aimed to identify and describe OUD-related hospital policies.
methodsWe obtained policies through a purposive sampling of addiction physicians affiliated with 10 U.S. hospitals. Experts provided 25 documents that we analyzed using a framework analysis. We then assessed policy concordance with national recommendations and conducted a post-hoc synthesis to create an environmental scan checklist.
resultsWe observed two hospital policy domains, with four sub-domains, each: 1) OAT management (a. acute pain and perioperative; b. OAT continuation; c. OAT initiation; d. opioid withdrawal) and 2) security and behavioral management (a. aberrant drug use; b. patient-directed discharge; c. safety protocols; d. peripherally inserted central catheters). OAT policy concordance with national guidance varied by sub-domain. Our post-hoc synthesis resulted in a hospital policy environmental scan checklist.
conclusionsHospital policies are not a singular solution to increasing OAT access, however, in the midst of a worsening drug-related overdose crisis, we observed the divergence of policies from federal recommendations. Policies should enhance, rather than deter OAT access.
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