Primary Care-Based Models for the Treatment of Opioid Use Disorder: A Scoping Review

Authors

P Todd Korthuis, Oregon Health & Science University, Portland, Oregon, and University of Washington, Seattle, Washington
Dennis McCarty, Oregon Health & Science University, Portland, Oregon, and University of Washington, Seattle, Washington
Melissa Weimer, Oregon Health & Science University, Portland, Oregon, and University of Washington, Seattle, Washington
Christina Bougatsos, Oregon Health & Science University, Portland, Oregon, and University of Washington, Seattle, Washington
Ian Blazina, Oregon Health & Science University, Portland, Oregon, and University of Washington, Seattle, Washington
Bernadette Zakher, Oregon Health & Science University, Portland, Oregon, and University of Washington, Seattle, Washington
Sara Grusing, Oregon Health & Science University, Portland, Oregon, and University of Washington, Seattle, Washington
Beth Devine, Oregon Health & Science University, Portland, Oregon, and University of Washington, Seattle, Washington
Roger Chou, Oregon Health & Science University, Portland, Oregon, and University of Washington, Seattle, Washington

Document Type

Article

Publication Date

2-21-2017

Abstract

Greater integration of medication-assisted treatment (MAT) for opioid use disorder (OUD) in U.S. primary care settings would expand access to treatment for this condition. Models for integrating MAT into primary care vary in structure. This article summarizes findings of a technical report for the Agency for Healthcare Research and Quality describing MAT models of care for OUD, based on a literature review and interviews with key informants in the field. The report describes 12 representative models of care for integrating MAT into primary care settings that could be considered for adaptation across diverse health care settings. Common components of existing care models include pharmacotherapy with buprenorphine or naltrexone, provider and community education, coordination and integration of OUD treatment with other medical and psychological needs, and psychosocial services and interventions. Models vary in how each component is implemented. Decisions about adopting MAT models of care should be individualized to address the unique milieu of each implementation setting.

Recommended Citation

Korthuis PT, McCarty D, Weimer M, Bougatsos C, Blazina I, Zakher B, Grusing S, Devine B, Chou R. Primary Care-Based Models for the Treatment of Opioid Use Disorder: A Scoping Review. Ann Intern Med. 2017 Feb 21;166(4):268-278. doi: 10.7326/M16-2149. Epub 2016 Dec 6. PMID: 27919103; PMCID: PMC5504692.