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Another Silver Lining

Anthropological Perspectives on the Promise and Practice of Relaxed Restrictions for Telemedicine and Medication-Assisted Treatment in the Context of Covid-19

Bibliographic Data

ID19001835
AuthorsEmery R Eaves (0000-0003-0692-7213, Northern Arizona University), R T Trotter (0000-0002-0804-4177, Northern Arizona University), Julie A Baldwin (0000-0003-1872-1925, Northern Arizona University)
Year2020
Volume79
Issue4
Pages292-303
Publication date2020-12-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueHuman Organization (JOURNAL)
Journal identifiersISSN: 0018-7259 • E-ISSN: 1938-3517
PublisherSociety for Applied Anthropology (PUBLISHER)
DOI10.17730/1938-3525-79.4.292
PMID33551465
OpenAlexW3108926286
LanguageEN
Citations received5
References cited37

As a response to the COVID-19 pandemic, the United States Drug Enforcement Administration (DEA) has temporarily relaxed restrictions to serve people who are opioid dependent during social distancing mandates. Changes include allowing patients to take home more doses of methadone and buprenorphine rather than coming to the clinic every day (for methadone) or weekly (for buprenorphine) and relaxed restrictions on telehealth delivery. Telemedicine Program representatives have described the relaxing of federal regulations as a "silver lining" to the COVID-19 pandemic. Drawing from medical anthropology approaches to epidemic surveillance and understandings of risk, we critically evaluate media representations of recent changes to telemedicine, prescribing, and opioid treatment delivery. Ethnographic research with providers and stakeholders in Arizona from 2017 to the present add insight to our analysis of media reports on these topics. Our findings demonstrate that media portrayal of access to medication-assisted treatment (MAT) as the key to preventing both COVID-19 and overdose among people who are opioid dependent misses important risks and potential inequities. Applied social science questions raised by the new guidelines include: who receives take-home doses of methadone and buprenorphine and why; and how media representations of risk and benefit rationales shape real-world policy and practice

Buprenorphine · Context (archaeology) · Coronavirus disease 2019 (COVID-19) · Health care · Methadone · Opioid · Pandemic · Political science · Psychiatry · Public relations · Social distance · Social media · Telehealth · Telemedicine · HIV, Drug Use, Sexual Risk · Medicine · Migration, Health and Trauma · Nursing · Opioid Use Disorder Treatment · Psychology

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Unique citing works5
Citations per year1
Citation span2021 - 2025 (5)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 5

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