Association between different modalities of opioid use disorder-related care delivery and opioid use disorder-related patient outcomes: A retrospective cohort study
Objective: This study assessed the impact of different modalities of delivery of opioid use disorder (OUD)-related care on several patient outcomes. Methods: This study was conducted among patients newly diagnosed with OUD and receiving OUD-related care between March 2020 and March 2022, using data...
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Elsevier
2025-06-01
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| Series: | Addictive Behaviors Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352853225000069 |
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| author | Nahiyan Bin Noor George Pro Mahip Acharya Hari Eswaran Corey J. Hayes |
| author_facet | Nahiyan Bin Noor George Pro Mahip Acharya Hari Eswaran Corey J. Hayes |
| author_sort | Nahiyan Bin Noor |
| collection | DOAJ |
| description | Objective: This study assessed the impact of different modalities of delivery of opioid use disorder (OUD)-related care on several patient outcomes. Methods: This study was conducted among patients newly diagnosed with OUD and receiving OUD-related care between March 2020 and March 2022, using data from Epic Cosmos. We examined the association between the most common modality of OUD-related care delivery (audio-only vs. audiovisual vs. in-person) and the number of emergency department (ED) visits for any overdose and opioid-specific overdose and receipt of medication treatment for OUD (MOUD; primary). We also examined the association between the most common modality of OUD-related care delivery and all-cause ED visits, hospitalizations, and psychiatric-related hospitalizations (secondary outcomes). We estimated logistic regression for receipt of MOUD and negative binomial for all other outcomes. Results: Most patients primarily received OUD-related care in person (87.6 %, n = 159,351), followed by audiovisual visits (11.3 %, n = 20,629) and audio-only visits (1.1 %, n = 1,869). The mean (SD) ages for these groups were 51.7 (15.9), 47.1 (15.0), and 51.1 (15.8) years, respectively. Compared to receiving OUD-related care primarily in-person, receiving care predominantly through audio-only or audiovisual visits was associated with a modest decrease in number of all-cause ED visits. Receiving OUD-related care primarily through audiovisual visits, compared to in-person care, was associated with a slight increase in the odds of receiving MOUD. No statistically significant differences were found between the care delivery modalities and the other outcomes we examined. Conclusion: Telehealth, delivered via audio-only or audiovisual methods, appears to provide care of similar quality to in-person OUD care and may modestly reduce OUD-related ED visits while slightly increasing MOUD receipt. These findings support continued delivery of OUD-related care through telehealth and continuation of COVID-19-related policies. |
| format | Article |
| id | doaj-art-d6e3ab50278c443aba9e22eeaa76803b |
| institution | Kabale University |
| issn | 2352-8532 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Addictive Behaviors Reports |
| spelling | doaj-art-d6e3ab50278c443aba9e22eeaa76803b2025-02-06T05:12:27ZengElsevierAddictive Behaviors Reports2352-85322025-06-0121100588Association between different modalities of opioid use disorder-related care delivery and opioid use disorder-related patient outcomes: A retrospective cohort studyNahiyan Bin Noor0George Pro1Mahip Acharya2Hari Eswaran3Corey J. Hayes4Institute for Digital Health & Innovation, University of Arkansas for Medical Sciences Little Rock AR USADepartment of Health Behavior and Health Education, College of Public Health, University of Arkansas for Medical Sciences Little Rock AR USAInstitute for Digital Health & Innovation, University of Arkansas for Medical Sciences Little Rock AR USA; Department of Obstetrics and Gynecology, College of Medicine, University of Arkansas for Medical Sciences Little Rock AR USAInstitute for Digital Health & Innovation, University of Arkansas for Medical Sciences Little Rock AR USA; Department of Obstetrics and Gynecology, College of Medicine, University of Arkansas for Medical Sciences Little Rock AR USAInstitute for Digital Health & Innovation, University of Arkansas for Medical Sciences Little Rock AR USA; Department of Biomedical Informatics, College of Medicine, University of Arkansas for Medical Sciences Little Rock AR USA; Center for Mental Healthcare and Outcomes Research, Central Arkansas Veterans Healthcare System, North Little Rock AR USA; Division of Pharmaceutical Evaluation and Policy, College of Pharmacy, University of Arkansas for Medical Sciences Little Rock AR USA; Corresponding author at: 4301 W. Markham Street, Slot 782, Little Rock, AR 72205, USA.Objective: This study assessed the impact of different modalities of delivery of opioid use disorder (OUD)-related care on several patient outcomes. Methods: This study was conducted among patients newly diagnosed with OUD and receiving OUD-related care between March 2020 and March 2022, using data from Epic Cosmos. We examined the association between the most common modality of OUD-related care delivery (audio-only vs. audiovisual vs. in-person) and the number of emergency department (ED) visits for any overdose and opioid-specific overdose and receipt of medication treatment for OUD (MOUD; primary). We also examined the association between the most common modality of OUD-related care delivery and all-cause ED visits, hospitalizations, and psychiatric-related hospitalizations (secondary outcomes). We estimated logistic regression for receipt of MOUD and negative binomial for all other outcomes. Results: Most patients primarily received OUD-related care in person (87.6 %, n = 159,351), followed by audiovisual visits (11.3 %, n = 20,629) and audio-only visits (1.1 %, n = 1,869). The mean (SD) ages for these groups were 51.7 (15.9), 47.1 (15.0), and 51.1 (15.8) years, respectively. Compared to receiving OUD-related care primarily in-person, receiving care predominantly through audio-only or audiovisual visits was associated with a modest decrease in number of all-cause ED visits. Receiving OUD-related care primarily through audiovisual visits, compared to in-person care, was associated with a slight increase in the odds of receiving MOUD. No statistically significant differences were found between the care delivery modalities and the other outcomes we examined. Conclusion: Telehealth, delivered via audio-only or audiovisual methods, appears to provide care of similar quality to in-person OUD care and may modestly reduce OUD-related ED visits while slightly increasing MOUD receipt. These findings support continued delivery of OUD-related care through telehealth and continuation of COVID-19-related policies.http://www.sciencedirect.com/science/article/pii/S2352853225000069AudioAudiovisualIn-personMedication for Opioid Use Disorder (MOUD)Opioid OverdoseOpioid Use Disorder |
| spellingShingle | Nahiyan Bin Noor George Pro Mahip Acharya Hari Eswaran Corey J. Hayes Association between different modalities of opioid use disorder-related care delivery and opioid use disorder-related patient outcomes: A retrospective cohort study Addictive Behaviors Reports Audio Audiovisual In-person Medication for Opioid Use Disorder (MOUD) Opioid Overdose Opioid Use Disorder |
| title | Association between different modalities of opioid use disorder-related care delivery and opioid use disorder-related patient outcomes: A retrospective cohort study |
| title_full | Association between different modalities of opioid use disorder-related care delivery and opioid use disorder-related patient outcomes: A retrospective cohort study |
| title_fullStr | Association between different modalities of opioid use disorder-related care delivery and opioid use disorder-related patient outcomes: A retrospective cohort study |
| title_full_unstemmed | Association between different modalities of opioid use disorder-related care delivery and opioid use disorder-related patient outcomes: A retrospective cohort study |
| title_short | Association between different modalities of opioid use disorder-related care delivery and opioid use disorder-related patient outcomes: A retrospective cohort study |
| title_sort | association between different modalities of opioid use disorder related care delivery and opioid use disorder related patient outcomes a retrospective cohort study |
| topic | Audio Audiovisual In-person Medication for Opioid Use Disorder (MOUD) Opioid Overdose Opioid Use Disorder |
| url | http://www.sciencedirect.com/science/article/pii/S2352853225000069 |
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