Evidence map›Paper›PMID 37734281›Full record

ArticleDrug and alcohol dependence2023

How are state telehealth policies associated with services offered by substance use disorder treatment facilities? Evidence from 2019 to 2022.

Denis Agniel, Jonathan Cantor, Olivia K Golan, Hao Yu, Barbara Andraka-Christou, Kosali I Simon, Bradley D Stein, Erin A Taylor

Open access · greenAbstract read
In one paragraph

Article in Drug and alcohol dependence, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 22% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. 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 at 5 institutions in 1 country.

Denis AgnielRAND Corporation, Santa Monica, CA, USA.
Jonathan CantorRAND Corporation, Santa Monica, CA, USA. Electronic address: jcantor@rand.org.
Olivia K GolanGeorgia State University, Atlanta, GA, USA.
Hao YuHarvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA, USA.
Barbara Andraka-ChristouUniversity of Central Florida, Orlando, FL, USA.
Kosali I SimonIndiana University, Bloomington, IN, USA.
Bradley D SteinRAND Corporation, Pittsburgh, PA, USA.
Erin A TaylorRAND Corporation, Santa Monica, CA, USA.
RAND Corporation · USGeorgia State University · USHarvard University · USIndiana University Bloomington · USUniversity of Central Florida · US

Funding

Optimal Methods for Estimating Policy Effect Heterogeneity in Opioid Policy ResearchP50DA046351 · NIDA · RAND CORPORATION · PI Rosanna Smart · 2018 to 2026
$20.8M
Specialty Provider Prescribing of Medications to Treat Opioid Use Disorder in Older AdultsR21AG071925 · NIA · RAND CORPORATION · PI CANTOR, JONATHAN, TAYLOR, ERIN A · 2022 to 2023
$522k
NIA NIH HHS R21 AG071925NIDA NIH HHS P50 DA046351
6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic led several states to adopt policies permitting the delivery of substance use disorder treatment (SUDT) by telehealth. We assess the impact of state-level telehealth policies in 2020 that specifically permitted audio or audiovisual forms of telehealth offerings among SUDT facilities. PROCEDURE: Cross-sectional analysis of secondary data from between 2019 and 2022. Pre-pandemic, federal law permitted states to allow audiovisual telehealth modes for SUDT to a limited extent. 2020 laws permitted states to allow audio-only modes for the first time and strengthened ability to offer audiovisual modes. We compared national SUDT facility self-reported telehealth offerings in 2020 and beyond to 2019, in states that in 2020 had policies permitting audiovisual and audio only, compared to other states. MAIN

findingsAmong outpatient SUDT facilities (n = 5227) present in all four years of our data, the proportion offering telehealth increased from 18% (n = 921) in 2019-26% in 2020, 60% in 2021, and 79% in 2022. We estimate an audiovisual and audio only policy in 2020 was associated with an increase in telehealth offering rates in 2022 of +16.5% points (pp) (95% CI [+10.4,+22.6]) compared to the rates in states with no such listed policy. There was little evidence of an influence on telehealth offering in 2020 (-2.9 pp, CI [-9.0,+3.2]) and 2021 (+0.6 pp, CI [-5.5,+6.7]).

conclusionsThe enactment of state-level telehealth policies that allow audio and audiovisual modalities may have increased SUDT facilities' likelihood of offering telehealth services two years after enactment.

Indexed as

Substance-Related DisordersTelemedicineCross-Sectional StudiesHumansPandemicsPolicyUnited StatesCOVID-19Substance Use Disorder TreatmentTelehealth

Identifiers

PMID37734281
PMCPMC10731590
OpenAlexW4386511143

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.