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Telemedicine increases access to buprenorphine initiation during the COVID-19 pandemic
Federal regulatory changes during the COVID-19 pandemic allow buprenorphine to be prescribed without an initial in-person evaluation. Prior to COVID-19, numerous barriers limited broad uptake of buprenorphine among people who use drugs at the system, provider, and patient levels, including lack of a...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier Inc.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7833481/ https://www.ncbi.nlm.nih.gov/pubmed/33771276 http://dx.doi.org/10.1016/j.jsat.2020.108272 |
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author | Wang, Linda Weiss, Jeffrey Ryan, Elizabeth Bogel Waldman, Justine Rubin, Stacey Griffin, Judy L. |
author_facet | Wang, Linda Weiss, Jeffrey Ryan, Elizabeth Bogel Waldman, Justine Rubin, Stacey Griffin, Judy L. |
author_sort | Wang, Linda |
collection | PubMed |
description | Federal regulatory changes during the COVID-19 pandemic allow buprenorphine to be prescribed without an initial in-person evaluation. Prior to COVID-19, numerous barriers limited broad uptake of buprenorphine among people who use drugs at the system, provider, and patient levels, including lack of available DATA 2000 waivered clinicians to prescribe, stigma, and competing livelihood priorities. As two harm reduction primary care programs in New York State that care for people who use drugs and offer buprenorphine, one rural (Ithaca) and one urban (Manhattan), we have rapidly adopted telemedicine to initiate buprenorphine treatment. Our collective experience suggests that telemedicine for buprenorphine initiation is eliminating many traditional barriers to treatment, in particular for individuals leaving incarceration, and people who use drugs and access syringe service programs. Future models of buprenorphine treatment should incorporate telemedicine for buprenorphine initiation, which can be done in collaboration with community-based outreach and peer networks to engage people who use drugs. This regulatory change must be sustained beyond COVID-19, and is vital to increasing access to buprenorphine, closing the opioid use disorder treatment gap, and achieving greater health equity for people who use drugs. |
format | Online Article Text |
id | pubmed-7833481 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-78334812021-01-26 Telemedicine increases access to buprenorphine initiation during the COVID-19 pandemic Wang, Linda Weiss, Jeffrey Ryan, Elizabeth Bogel Waldman, Justine Rubin, Stacey Griffin, Judy L. J Subst Abuse Treat Article Federal regulatory changes during the COVID-19 pandemic allow buprenorphine to be prescribed without an initial in-person evaluation. Prior to COVID-19, numerous barriers limited broad uptake of buprenorphine among people who use drugs at the system, provider, and patient levels, including lack of available DATA 2000 waivered clinicians to prescribe, stigma, and competing livelihood priorities. As two harm reduction primary care programs in New York State that care for people who use drugs and offer buprenorphine, one rural (Ithaca) and one urban (Manhattan), we have rapidly adopted telemedicine to initiate buprenorphine treatment. Our collective experience suggests that telemedicine for buprenorphine initiation is eliminating many traditional barriers to treatment, in particular for individuals leaving incarceration, and people who use drugs and access syringe service programs. Future models of buprenorphine treatment should incorporate telemedicine for buprenorphine initiation, which can be done in collaboration with community-based outreach and peer networks to engage people who use drugs. This regulatory change must be sustained beyond COVID-19, and is vital to increasing access to buprenorphine, closing the opioid use disorder treatment gap, and achieving greater health equity for people who use drugs. Elsevier Inc. 2021-05 2021-01-15 /pmc/articles/PMC7833481/ /pubmed/33771276 http://dx.doi.org/10.1016/j.jsat.2020.108272 Text en © 2021 Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Article Wang, Linda Weiss, Jeffrey Ryan, Elizabeth Bogel Waldman, Justine Rubin, Stacey Griffin, Judy L. Telemedicine increases access to buprenorphine initiation during the COVID-19 pandemic |
title | Telemedicine increases access to buprenorphine initiation during the COVID-19 pandemic |
title_full | Telemedicine increases access to buprenorphine initiation during the COVID-19 pandemic |
title_fullStr | Telemedicine increases access to buprenorphine initiation during the COVID-19 pandemic |
title_full_unstemmed | Telemedicine increases access to buprenorphine initiation during the COVID-19 pandemic |
title_short | Telemedicine increases access to buprenorphine initiation during the COVID-19 pandemic |
title_sort | telemedicine increases access to buprenorphine initiation during the covid-19 pandemic |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7833481/ https://www.ncbi.nlm.nih.gov/pubmed/33771276 http://dx.doi.org/10.1016/j.jsat.2020.108272 |
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