{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T01:53:17Z","timestamp":1790128397909,"version":"4.0.1"},"reference-count":13,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,7,15]],"date-time":"2022-07-15T00:00:00Z","timestamp":1657843200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Rural Health"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Buprenorphine utilization remains low in the United States. Telemedicine guidelines and flexibilities introduced during the COVID\u201019 pandemic provide an opportunity to increase patient access to buprenorphine. However, it is not known whether Americans without access to buprenorphine waivered provider, especially those residing in rural counties, have sufficient broadband internet access to support telemedicine.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Administrative data from the Substance Abuse and Mental Health Services Administration's Buprenorphine Treatment Practitioner Locator Tool and the Fixed Broadband Deployment Data from the Federal Communications Commission are utilized to identify counties with low broadband penetration rate and the number of buprenorphine waivered providers with capacity to accept patients within a 30 miles radius.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>23.9% of the US population does not have access to any buprenorphine waivered provider with a capacity to accept new patients within a 30 miles radius. In counties with low broadband penetration rate, 78.9% of residents does not have access to any buprenorphine waivered provider with patient capacity. In rural counties with low broadband penetration rate, 82.3% of the residents does not have access to any buprenorphine waivered provider with patient capacity within a 30 miles radius.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Federal policy initiatives are expected to continue the COVID\u201019\u2010related telehealth flexibilities and to increase the number of providers available to prescribe buprenorphine, but for that to translate into more patients utilizing treatment via telemedicine, high\u2010speed internet access will be essential. This is particularly salient for residents in rural counties where access to both buprenorphine providers and high\u2010speed internet access is limited.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jrh.12699","type":"journal-article","created":{"date-parts":[[2022,7,15]],"date-time":"2022-07-15T13:13:42Z","timestamp":1657890822000},"page":"233-239","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Broadband access and telemedicine adoption for opioid use disorder treatment in the United States"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0597-6419","authenticated-orcid":false,"given":"Mir M.","family":"Ali","sequence":"first","affiliation":[{"name":"Office of the Assistant Secretary for Planning &amp; Evaluation US Department of Health &amp; Human Services  Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robin","family":"Ghertner","sequence":"additional","affiliation":[{"name":"Office of the Assistant Secretary for Planning &amp; Evaluation US Department of Health &amp; Human Services  Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,7,15]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"U.S. Department of Health and Human Services Overdose Prevention Strategy (Issue Brief)","author":"Haffajee RL","year":"2021"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2018.12.006"},{"key":"e_1_2_8_4_1","unstructured":"Department of Health & Human Services.Practice Guidelines for the Administration of Buprenorphine for Treating Opioid Use Disorder.2021. Available at:https:\/\/www.federalregister.gov\/documents\/2021\/04\/28\/2021\u201008961\/practice\u2010guidelines\u2010for\u2010the\u2010administration\u2010of\u2010buprenorphine\u2010for\u2010treating\u2010opioid\u2010use\u2010disorder. Accessed date March 20 2022."},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.10542"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2020.108215"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2019.03.007"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12307"},{"key":"e_1_2_8_9_1","unstructured":"Medicaid and CHIP Payment and Access Commission.2016.Monitoring Managed Care Access. Macpac.Gov. Available at:https:\/\/www.macpac.gov\/subtopic\/monitoringmanaged\u2010care\u2010access\/"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.7326\/M19-0283"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201900635"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2018.304899"},{"key":"e_1_2_8_13_1","volume-title":"People in Low\u2010Income Households Have Less Access to Internet Services \u2013 2019 Update","author":"Swenson K","year":"2020"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2021.109107"}],"container-title":["The Journal of Rural Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jrh.12699","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jrh.12699","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jrh.12699","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,19]],"date-time":"2023-08-19T11:14:26Z","timestamp":1692443666000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jrh.12699"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,15]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,1]]}},"alternative-id":["10.1111\/jrh.12699"],"URL":"https:\/\/doi.org\/10.1111\/jrh.12699","archive":["Portico"],"relation":{},"ISSN":["0890-765X","1748-0361"],"issn-type":[{"value":"0890-765X","type":"print"},{"value":"1748-0361","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,15]]},"assertion":[{"value":"2022-07-15","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}