Treating Opioid Dependence with Buprenorphine in the Safety Net: Critical Learning from Clinical Data

Traci R. Rieckmann, Nicholas Gideonse, Amanda Risser, Jennifer E. DeVoe, Amanda J. Abraham

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

Research has examined the safety, efficacy, feasibility, and cost-effectiveness of buprenorphine for the treatment of opioid dependence, but few studies have examined patient and provider experiences, especially in community health centers. Using de-identified electronic health record system (EHRS) data from 70 OCHIN community health centers (n = 1825), this cross-sectional analysis compared the demographics, comorbidities, and service utilization of patients receiving buprenorphine to those not receiving medication-assisted treatment (MAT). Compared to non-MAT patients, buprenorphine patients were younger and less likely to be Hispanic or live in poverty. Buprenorphine patients were less likely to have Medicaid insurance coverage, more likely to self-pay, and have private insurance coverage. Buprenorphine patients were less likely to have problem medical comorbidities or be coprescribed high-risk medications. It is important for providers, clinic administrators, and patients to understand the clinical application of medications for opioid dependence to ensure safe and effective care within safety net clinics.

Original languageEnglish (US)
Pages (from-to)351-363
Number of pages13
JournalJournal of Behavioral Health Services and Research
Volume44
Issue number3
DOIs
StatePublished - Jul 1 2017

ASJC Scopus subject areas

  • Health(social science)
  • Health Policy
  • Public Health, Environmental and Occupational Health

Fingerprint Dive into the research topics of 'Treating Opioid Dependence with Buprenorphine in the Safety Net: Critical Learning from Clinical Data'. Together they form a unique fingerprint.

  • Cite this