{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T20:16:46Z","timestamp":1790799406421,"version":"4.1.0"},"reference-count":42,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T00:00:00Z","timestamp":1771891200000},"content-version":"vor","delay-in-days":23,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["5UG1DDA015831"],"award-info":[{"award-number":["5UG1DDA015831"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001078","name":"Emergency Medicine Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001078","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Academic Emergency Medicine"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Significant racial and ethnic disparities exist in treatment referral engagement for opioid use disorder (OUD) after an emergency department (ED) visit. Little is known about how contextual factors influence preferences for ED OUD treatment coordination and how these preferences vary by race and ethnicity. This study seeks to evaluate and compare structural and support\u2010related factors by eliciting ED OUD treatment coordination preferences among Black, Hispanic, and White individuals with OUD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Two trained qualitative investigators conducted semi\u2010structured telephone individual interviews with 57 participants (20 non\u2010Hispanic Black, 20 non\u2010Hispanic White, 17 Hispanic) formerly enrolled in Project ED\u2010Innovation. We used the National Institute on Minority Health and Health Disparities Research Framework to explore preferences in ED OUD treatment coordination and how they may be shaped by structural and support\u2010related factors. Participants were recruited using purposeful sampling from eight ED sites: Cooper (NJ), Grady Memorial (GA), Henry Ford (MI), Maine (ME), University of New Mexico (NM), University of Utah, and the Alameda Health System (CA). Transcript were categorized and analyzed by race and ethnicity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Black participants emphasized relational encouragement as a facilitator of treatment engagement. Hispanic and White participants described difficulty navigating a two\u2010tiered racialized treatment system: methadone and buprenorphine. Participants from all three groups emphasized: (1) recognition and appreciation of hospitals' efforts in providing ED\u2010initiated buprenorphine; (2) the importance of ED addiction care efficiency; (3) value of demonstrating compassion during conversations about OUD; (4) enhancing accessibility of OUD treatment post\u2010ED visit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Black participants underscored relational encouragement as a facilitator of engagement, while Hispanic and White participants described difficulty navigating a two\u2010tiered OUD treatment system. All groups supported ED\u2010initiated buprenorphine; however, they noted a need to improve accessibility post\u2010ED visit. Future ED\u2010based studies should integrate these contextual factors to develop models that improve OUD treatment engagement among all populations post\u2010ED visit.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/acem.70253","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T17:04:40Z","timestamp":1772989480000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Exploring Preferences in Emergency Department Coordination of Opioid Use Disorder Treatment by Race and Ethnicity"],"prefix":"10.1111","volume":"33","author":[{"suffix":"Jr.","given":"Edouard","family":"Coupet","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine Yale School of Medicine  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marek C.","family":"Chawarski","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Yale School of Medicine  New Haven Connecticut USA"},{"name":"Department of Medicine Yale School of Medicine  New Haven Connecticut USA"},{"name":"Department of Psychiatry Yale School of Medicine  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kavari","family":"Hercules","sequence":"additional","affiliation":[{"name":"Department of Chronic Disease Epidemiology Yale School of Public Health  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph L.","family":"Williams","sequence":"additional","affiliation":[{"name":"Kansas City University College of Osteopathic Medicine  Kansas City Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra Murphy","family":"Ward","sequence":"additional","affiliation":[{"name":"Frank H. Netter MD School of Medicine at Quinnipiac University  North Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia H.","family":"Owens","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Yale School of Medicine  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4006-010X","authenticated-orcid":false,"given":"David A.","family":"Fiellin","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Yale School of Medicine  New Haven Connecticut USA"},{"name":"Department of Medicine Yale School of Medicine  New Haven Connecticut USA"},{"name":"Department of Chronic Disease Epidemiology Yale School of Public Health  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn F.","family":"Hawk","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Yale School of Medicine  New Haven Connecticut USA"},{"name":"Department of Chronic Disease Epidemiology Yale School of Public Health  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shara H.","family":"Martel","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Yale School of Medicine  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gail","family":"D'Onofrio","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Yale School of Medicine  New Haven Connecticut USA"},{"name":"Department of Medicine Yale School of Medicine  New Haven Connecticut USA"},{"name":"Department of Chronic Disease Epidemiology Yale School of Public Health  New Haven Connecticut 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