A5050082036- Opioid Use Disorder Treatment
- Substance Abuse Treatment and Outcomes
- Pain Management and Opioid Use
- Musculoskeletal pain and rehabilitation
- Infective Endocarditis Diagnosis and Management
- Prenatal Substance Exposure Effects
- HIV, Drug Use, Sexual Risk
- Alcoholism and Thiamine Deficiency
- Poisoning and overdose treatments
- Pharmaceutical Practices and Patient Outcomes
- Electronic Health Records Systems
- Otolaryngology and Infectious Diseases
- Spine and Intervertebral Disc Pathology
- Health Policy Implementation Science
- Forensic Toxicology and Drug Analysis
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Pain Management and Placebo Effect
- Mental Health Treatment and Access
- Healthcare Systems and Technology
- Anesthesia and Pain Management
- Health Sciences Research and Education
- Patient-Provider Communication in Healthcare
- COVID-19 and Mental Health
- Pediatric Pain Management Techniques
- Chronic Disease Management Strategies
Yale University
2019-2025
Yale New Haven Hospital
2020-2024
London Rebuilding Society
2024
Commodity Futures Trading Commission
2024
Massachusetts Department of Agricultural Resources
2024
Yale New Haven Health System
2024
VA Connecticut Healthcare System
2023
Highland Hospital
2023
Alameda Health System
2023
Johns Hopkins University
2023
Greater integration of medication-assisted treatment (MAT) for opioid use disorder (OUD) in U.S. primary care settings would expand access to this condition. Models integrating MAT into vary structure. This article summarizes findings a technical report the Agency Healthcare Research and Quality describing models OUD, based on literature review interviews with key informants field. The describes 12 representative that could be considered adaptation across diverse health settings. Common...
People with substance use disorders (SUD) have high rates of hospitalization and readmission, long lengths stay, skyrocketing healthcare costs. Yet, models for improving care are extremely limited. We performed a needs assessment then convened academic community partners, including hospital, SUD organizations, Medicaid accountable to design model medically complex hospitalized patients SUD. Needs showed that 58% 67% participants who reported active said they were interested in cutting back...
Hospitals are increasingly filled with people admitted for medical and surgical complications of substance use disorder (SUD). Hospitalization can be a reachable moment to engage initiate SUD care. Yet most hospitals do not have systems in place adequately address addiction, providers little no addiction training. There is widespread need protocols tools implement hospital-based We share best practices from our Improving Addiction Care Team (IMPACT). include description interprofessional...
Abstract Background To end the HIV and hepatitis C virus (HCV) epidemics, people who use drugs (PWUD) need more opportunities for testing. While inpatient hospitalizations are an essential opportunity to test HCV, there is limited research on rates of testing HCV among PWUD. Methods Eleven hospital sites were included in study. Each site created a cohort encounters associated with injection drug use. From these cohorts, we collected data consent policies from 65 276 PWUD hospitalizations....
Abstract Background Medications for alcohol use disorder (MAUD) are underutilized and multiple barriers disparities in treatment initiation have been identified. Effective hospital‐based strategies to promote MAUD not well‐defined. Objective To determine whether an electronic health record (EHR)‐integrated clinical pathway increases initiation. Methods We conducted a prospective observational cohort study with consecutive adult inpatients diagnosed (AUD) withdrawal requiring who were...
Personal health records (PHRs) typically employ "passive" communication strategies, such as non-personalized medical text, rather than direct patient engagement in care. Currently there is a call for more active PHRs that directly engage patients an effort to improve their by offering elements personalized information, coaches, and secure messaging with primary care providers. As part of randomized clinical trial comparing "active" PHRs, we explore patients' experiences using PHR known...
This Viewpoint discusses policy reforms necessary to advance medical management of opioid use disorder in the wake retraction by Biden adminstration proposed federal Practice Guidelines for Administration Buprenorphine Treating Opioid Use Disorder.
High-dose opioids prescribed for the treatment of chronic pain have been associated with increased risk opioid overdose. Health systems and states responded by developing dose limitation policies. Little is known about how these policies affect prescribing practices or characteristics patients who respond best to tapers from high-dose opioids.We conducted a retrospective cohort study evaluate change in total after implementation provider education intervention 120 mg morphine equivalents per...
Despite a growing number of women seeking medical care in the veterans affairs (VA) system, little is known about characteristics their chronic pain or they receive. This study sought to determine if sex differences are present received for pain.Retrospective cohort using VA administrative data.The subjects were 17,583 veteran patients with moderate severe non-cancer treated Pacific Northwest during 2008.Multivariate logistic regression assessed primary utilization, prescription opioid...