When will opioid agonist therapy become a normal part of comprehensive health care?

2021 ◽  
Author(s):  
Pallavi Prathivadi ◽  
Elizabeth A Sturgiss
Keyword(s):  
Health Care ◽  
Comprehensive Health Care ◽  
Agonist Therapy ◽  
Opioid Agonist ◽  
Opioid Agonist Therapy ◽  
Normal Part ◽  
Comprehensive Health

Exploring health-care providers’ experiences in the care of clients on opioid agonist treatment in two western Canadian clinics

2019 ◽  
Vol 52 (1) ◽  
pp. 15-24 ◽  
Author(s):  
Geoffrey Maina ◽  
Hira Tahir ◽  
Angelica Docabo ◽  
Nyambura Kahia ◽  
Caroline Brunelle
Keyword(s):  
Health Care ◽  
Health Care Provider ◽  
Health Care Providers ◽  
Care Provider ◽  
Retention Rates ◽  
Care Organization ◽  
Care Providers ◽  
Agonist Therapy ◽  
Opioid Agonist ◽  
Opioid Agonist Therapy

Introduction Prescribing methadone as part of opioid agonist therapy is a common treatment approach to manage opioid use disorder. Unfortunately, many clients prematurely discontinue opioid agonist therapy because of restrictions attached to the therapy. Purpose The purpose of this study was to explore health-care provider experiences as they worked with clients on opioid agonist therapy in a western Canadian city. Methods In this descriptive, qualitative study, we interviewed 18 health-care providers working in an opioid agonist therapy setting. The focus of the interviews was on the organization of opioid agonist therapy care at their clinic, their personal experiences and challenges faced when providing care to their clients. Interviews were recorded electronically and transcribed verbatim and thematic analysis was completed using NVIVO software. Results The following three themes emerged from the data relate to the care organization and health care provider (HCP)-clients dynamics. These are: (1) fragmentation of care for a complex problem, (2) enforcing compliance to treatment, and (3) the importance of a therapeutic alliance to improve overall care. Conclusion The opioid agonist therapy model is biocentric and emphasizes abstinence which can create tension between providers and clients. Making the model of care more patient centred might help to improve client retention rates and successful treatment outcomes.

scholarly journals Implementation of a regional quality improvement collaborative to improve care of people living with opioid use disorder in a Canadian setting

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Laura Beamish ◽  
Zach Sagorin ◽  
Cole Stanley ◽  
Krista English ◽  
Rana Garelnabi ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Opioid Use ◽  
Agonist Therapy ◽  
Opioid Agonist ◽  
Opioid Agonist Therapy ◽  
Care Processes ◽  
Breakthrough Series Collaborative ◽  
Collaborative Methodology ◽  
Breakthrough Series

Abstract Background Although opioid agonist therapy is effective in treating opioid use disorders (OUD), retention in opioid agonist therapy is suboptimal, in part, due to quality of care issues. Therefore, we sought to describe the planning and implementation of a quality improvement initiative aimed at closing gaps in care for people living with OUD through changes to workflow and care processes in Vancouver, Canada. Methods The Best-practice in Oral Opioid agoniSt Therapy (BOOST) Collaborative followed the Institute for Healthcare Improvement’s Breakthrough Series Collaborative methodology over 18-months. Teams participated in a series of activities and events to support implementing, measuring, and sharing best practices in OAT and OUD care. Teams were assigned monthly implementation scores to monitor their progress on meeting Collaborative aims and implementing changes. Results Seventeen health care teams from a range of health care practices caring for a total of 4301 patients with a documented diagnosis of OUD, or suspected OUD based on electronic medical record chart data participated in the Collaborative. Teams followed the Breakthrough Series Collaborative methodology closely and reported monthly on a series of standardized process and outcome indicators. The majority of (59%) teams showed some improvement throughout the Collaborative as indicated by implementation scores. Conclusions Descriptive data from the evaluation of this initiative illustrates its success. It provides further evidence to support the implementation of quality improvement interventions to close gaps in OUD care processes and treatment outcomes for people living with OUD. This system-level approach has been spread across British Columbia and could be used by other jurisdictions facing similar overdose crises.

950 Association between capacity for maternal opioid agonist therapy treatment and neonatal abstinence syndrome

2021 ◽  
Vol 224 (2) ◽  
pp. S589-S590
Author(s):  
Bronwyn S. Bedrick ◽  
Carly O'Donnell ◽  
Christine Marx ◽  
Hayley Friedman ◽  
Ebony B. Carter ◽  
...  
Keyword(s):  
Neonatal Abstinence Syndrome ◽  
Abstinence Syndrome ◽  
Agonist Therapy ◽  
Opioid Agonist ◽  
Opioid Agonist Therapy ◽  
Therapy Treatment

scholarly journals COVID ‐19 and the legislative response in India: The need for a comprehensive health care law

2021 ◽  
Author(s):  
Kiran Kumar Gowd ◽  
Donthagani Veerababu ◽  
Veeraiahgari Revanth Reddy
Keyword(s):  
Health Care ◽  
Comprehensive Health Care ◽  
Comprehensive Health ◽  
Health Care Law

scholarly journals The effectiveness of telemedicine-delivered opioid agonist therapy in a supervised clinical setting

2017 ◽  
Vol 176 ◽  
pp. 133-138 ◽  
Author(s):  
Joseph K. Eibl ◽  
Graham Gauthier ◽  
David Pellegrini ◽  
Jeffery Daiter ◽  
Michael Varenbut ◽  
...  
Keyword(s):  
Clinical Setting ◽  
Agonist Therapy ◽  
Opioid Agonist ◽  
Opioid Agonist Therapy

COMPREHENSIVE HEALTH CARE

1969 ◽  
Vol 18 (5) ◽  
pp. 454
Author(s):  
J. C. HASIER ◽  
P. M. R. HEMPHILI ◽  
T. I. STEWART ◽  
E ROYL ◽  
S ANDREY. HARRI
Keyword(s):  
Health Care ◽  
Comprehensive Health Care ◽  
Comprehensive Health
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