Primary care-based models for the treatment of opioid use disorder: A scoping review

Philip (Todd) Korthuis, Dennis McCarty, Melissa Weimer, Christina Bougatsos, Ian Blazina, Bernadette Zakher, Sara Grusing, Beth Devine, Roger Chou

Research output: Contribution to journalReview article

69 Citations (Scopus)

Abstract

Greater integration of medication-assisted treatment (MAT) for opioid use disorder (OUD) in U.S. primary care settings would expand access to treatment for this condition. Models for integrating MAT into primary care vary in structure. This article summarizes findings of a technical report for the Agency for Healthcare Research and Quality describing MAT models of care for OUD, based on a literature review and interviews with key informants in the field. The report describes 12 representative models of care for integrating MAT into primary care settings that could be considered for adaptation across diverse health care settings. Common components of existing care models include pharmacotherapy with buprenorphine or naltrexone, provider and community education, coordination and integration of OUD treatment with other medical and psychological needs, and psychosocial services and interventions. Models vary in how each component is implemented. Decisions about adopting MAT models of care should be individualized to address the unique milieu of each implementation setting.

Original languageEnglish (US)
Pages (from-to)268-278
Number of pages11
JournalAnnals of Internal Medicine
Volume166
Issue number4
DOIs
StatePublished - Feb 21 2017

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Opioid Analgesics
Primary Health Care
Therapeutics
Buprenorphine
Naltrexone
Health Services Research
Interviews
Psychology
Delivery of Health Care
Education
Drug Therapy

ASJC Scopus subject areas

  • Internal Medicine

Cite this

Primary care-based models for the treatment of opioid use disorder : A scoping review. / Korthuis, Philip (Todd); McCarty, Dennis; Weimer, Melissa; Bougatsos, Christina; Blazina, Ian; Zakher, Bernadette; Grusing, Sara; Devine, Beth; Chou, Roger.

In: Annals of Internal Medicine, Vol. 166, No. 4, 21.02.2017, p. 268-278.

Research output: Contribution to journalReview article

Korthuis, Philip (Todd) ; McCarty, Dennis ; Weimer, Melissa ; Bougatsos, Christina ; Blazina, Ian ; Zakher, Bernadette ; Grusing, Sara ; Devine, Beth ; Chou, Roger. / Primary care-based models for the treatment of opioid use disorder : A scoping review. In: Annals of Internal Medicine. 2017 ; Vol. 166, No. 4. pp. 268-278.
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