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Medications for Opioid Use Disorder in Rural United States

A Critical Review of the Literature, 2004–2021

Bibliographic Data

ID21645321
AuthorsJohn Bresett (Southern Illinois University Carbondale, corresponding author), John W Bresett (School of Human Sciences, Southern Illinois University at Carbondale, Carbondale, Illinois, USA), Aaron J Kruse‐diehr (0000-0003-2952-0248, Department of Family and Community Medicine, University of Kentucky College of Medicine, Lexington, Kentucky, USA)
Year2023
Volume58
Issue1
Pages111-118
Publication date2023-01-02
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueSubstance Use & Misuse (JOURNAL)
Journal identifiersISSN: 1082-6084 • E-ISSN: 1532-2491
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/10826084.2022.2149244
PMID36420639
OpenAlexW4309862257
LanguageEN
References cited33

BACKGROUND: The opioid epidemic continues to be problematic in the United States (US). Medications for opioid use disorder (MOUD) are a commonly used evidence-based approach to treating affected individuals, but little is known about its use in the rural US. We reviewed published literature and summarized access, barriers, and approaches to MOUD delivery in rural areas. METHODS: aims. Articles published after 2004 were included if they were cross-sectional, analyzed secondary data, collected quantitative or qualitative primary data, were longitudinal or reported intervention results. Studies were excluded if they were conducted outside the US or did not present data. RESULTS: A total of 13 articles met all criteria. Themes from the articles included increase in rural areas with waivered physicians able to prescribe buprenorphine, barriers to physician prescribing, waivered physicians choosing not to prescribe, and inability to assess quality of MOUD practices in rural US settings. CONCLUSIONS: Additional studies of MOUD delivery in rural areas are needed to help explicate themes found in this review. Having a stronger understanding of prescribers operating practices and program roll-out in rural areas may help address some identified barriers and deliver a stronger quality treatment practice for individuals with substance-use disorder

Buprenorphine · Family medicine · MEDLINE · Opioid · Opioid use disorder · Political science · Psychiatry · Qualitative research · Rural area · Sociology · Substance abuse · HIV, Drug Use, Sexual Risk · Medicine · Opioid Use Disorder Treatment · Substance Abuse Treatment and Outcomes

  • Medication‐Assisted Opioid Treatment Prescribers in Federally Qualified Health Centers

    Open Access•Emily Jones, Emily B Jones•The Journal of Rural Health•2018

  • Overcoming Barriers to Prescribing Buprenorphine for the Treatment of Opioid Use Disorder

    Open Access•C Holly A Andrilla, Tessa E Moore et al.•The Journal of Rural Health•2019

  • Barriers and Facilitators to Substance Use Treatment in the Rural South

    Open Access•Teri Browne, Mary Ann Priester et al.•The Journal of Rural Health•2016

  • Modeling Health Benefits and Harms of Public Policy Responses to the US Opioid Epidemic

    Allison L Pitt, Allison Pitt et al.•American Journal of Public Health•2018

Citation velocityhistorical
Highly citedNo

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