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The System-Wide Medication for Opioid Use Disorder (SW-MOUD) program: A description of program implementation.

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Názov: The System-Wide Medication for Opioid Use Disorder (SW-MOUD) program: A description of program implementation.
Autori: O'Rourke BP; Division of Health Services Management and Policy, College of Public Health, Ohio State University., Hogan TH; Division of Health Services Management and Policy, College of Public Health, Ohio State University., Miller A; Neurological Institute, Ohio State University Wexner Medical Center., Fried M; Division of General Internal Medicine, College of Medicine, Ohio State University., Williams M; Division of Hospital Medicine, College of Medicine, Ohio State University., Teater J; Department of Psychiatry and Behavioral Health, College of Medicine, Ohio State University., Kauffman E; Division of General Internal Medicine, College of Medicine, Ohio State University., Clark AD; Department of Family and Community Medicine, College of Medicine, Ohio State University., Hall OT; Department of Psychiatry and Behavioral Health, College of Medicine, Ohio State University., Huynh P; Department of Family and Community Medicine, College of Medicine, Ohio State University., Hefner JL; Division of Health Services Management and Policy, College of Public Health, Ohio State University.
Zdroj: Psychological services [Psychol Serv] 2025 Nov; Vol. 22 (4), pp. 761-770. Date of Electronic Publication: 2025 May 05.
Spôsob vydávania: Journal Article
Jazyk: English
Informácie o časopise: Publisher: Educational Publishing Foundation Country of Publication: United States NLM ID: 101214316 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1939-148X (Electronic) Linking ISSN: 15411559 NLM ISO Abbreviation: Psychol Serv Subsets: MEDLINE
Imprint Name(s): Original Publication: Washington, DC : Educational Publishing Foundation, c2004-
Výrazy zo slovníka MeSH: Opioid-Related Disorders*/drug therapy , Opiate Substitution Treatment*/methods , Narcotic Antagonists*/therapeutic use , Buprenorphine*/therapeutic use , Program Development* , Health Services Accessibility*, Humans ; Ohio
Abstrakt: Medication for opioid use disorder (MOUD) is an evidence-based treatment for opioid use disorder (OUD). However, only a small proportion of eligible patients receive MOUD, due in part to access barriers and the complex medical needs of this population. Provision of MOUD traditionally occurs in ambulatory opioid treatment programs that operate separately from other providers, making it difficult to address patient needs comprehensively during health care encounters. To alleviate these barriers to continuous care for individuals with OUD, The Ohio State Wexner Medical Center designed the System-Wide MOUD (SW-MOUD) program. The SW-MOUD program has two objectives, (a) expand access to MOUD across emergency, inpatient, and outpatient settings, and (b) coordinate care for patients across these settings using integrated program staff. This article describes the SW-MOUD program implementation in order to serve as a roadmap for the creation of similar care delivery mechanisms. In the program's first 4 years, there were a total of 4,908 MOUD initiations. The implementation tools presented in this article include a patient flow model with an overall program structure, a detailed multilevel implementation timeline, and a table of implementation strategies used across three broad phases: preparation, rollout, and sustainability. The transformation of evidence-based treatments into systematic delivery approaches offers the potential to improve patient outcomes. Our experience is informative not only for health systems seeking to increase access to MOUD in their communities but also for those looking to expand access to care for any treatment modality by coordinating care across existing system silos. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
Substance Nomenclature: 0 (Narcotic Antagonists)
40D3SCR4GZ (Buprenorphine)
Entry Date(s): Date Created: 20250505 Date Completed: 20251030 Latest Revision: 20251030
Update Code: 20251031
DOI: 10.1037/ser0000966
PMID: 40323860
Databáza: MEDLINE
Popis
Abstrakt:Medication for opioid use disorder (MOUD) is an evidence-based treatment for opioid use disorder (OUD). However, only a small proportion of eligible patients receive MOUD, due in part to access barriers and the complex medical needs of this population. Provision of MOUD traditionally occurs in ambulatory opioid treatment programs that operate separately from other providers, making it difficult to address patient needs comprehensively during health care encounters. To alleviate these barriers to continuous care for individuals with OUD, The Ohio State Wexner Medical Center designed the System-Wide MOUD (SW-MOUD) program. The SW-MOUD program has two objectives, (a) expand access to MOUD across emergency, inpatient, and outpatient settings, and (b) coordinate care for patients across these settings using integrated program staff. This article describes the SW-MOUD program implementation in order to serve as a roadmap for the creation of similar care delivery mechanisms. In the program's first 4 years, there were a total of 4,908 MOUD initiations. The implementation tools presented in this article include a patient flow model with an overall program structure, a detailed multilevel implementation timeline, and a table of implementation strategies used across three broad phases: preparation, rollout, and sustainability. The transformation of evidence-based treatments into systematic delivery approaches offers the potential to improve patient outcomes. Our experience is informative not only for health systems seeking to increase access to MOUD in their communities but also for those looking to expand access to care for any treatment modality by coordinating care across existing system silos. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
ISSN:1939-148X
DOI:10.1037/ser0000966