ArticleJournal of general internal medicine2025
Successful Integration of Alcohol Use Disorder Treatment into a Primary Care Clinic at a Safety-Net Hospital.
Article in Journal of general internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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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.
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.
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhile primary care-based alcohol use disorder (AUD) treatment models have shown promise, implementation of these resource-intensive models has been limited. Real-world, resource-conscious experience implementing AUD treatment within primary care is needed.
objectiveEvaluate the early implementation of a novel primary care-based AUD clinic (AUDC) to provide accessible AUD treatment in a safety-net health system.
designEvaluation study of the implementation of the AUDC using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework.
participantsPatients seen in the AUDC, January 2022 to February 2023.
interventionEmbedded within the primary care clinic of a safety-net health system, the AUDC leverages existing resources to provide streamlined AUD treatment including medication for AUD (MAUD) and linkage to behavioral health (BH). MAIN MEASURES: Evaluation metrics include reach (individual level participation), effectiveness (patient engagement with MAUD and BH and changes in alcohol use and cravings), adoption (source of referrals), implementation (patient engagement across the AUDC care cascade), and maintenance (alcohol-related hospitalizations before and after AUDC engagement). KEY
resultsThe AUDC reached 54 patients and of those, 38 patients (70%) received MAUD and 29 patients (58%) accepted BH services (implementation). In terms of effectiveness, 36 patients (67%) reported reduced alcohol use and cravings at follow-up. For maintenance, there was a difference in proportion of patients with at least one alcohol-related hospitalization in the 6 months before and after their initial AUDC visit (X
conclusionEvaluation of the AUDC suggests potential positive effects on patient engagement, AUD treatment uptake, and alcohol-related outcomes, including alcohol-related hospitalization. Using a streamlined approach and leveraging existing primary care resources may enable implementing AUD treatment in resource-conscious settings.
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Registered trials
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