{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:32:29Z","timestamp":1777923149742,"version":"3.51.4"},"reference-count":60,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2023,7,1]],"date-time":"2023-07-01T00:00:00Z","timestamp":1688169600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Virginia Department of Medical Assistance Services","award":["IAG No. 407 (Appendix K)"],"award-info":[{"award-number":["IAG No. 407 (Appendix K)"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Substance Abuse"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Many payers, including Medicaid, the largest payer of opioid use disorder (OUD) treatment, are pursuing treatment-related quality improvement initiatives. Yet, how patient-reported experiences with OUD treatment relate to patient-centered outcomes remains poorly understood.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To examine associations between Medicaid members\u2019 OUD treatment experiences, outpatient treatment settings, demographic and social factors, and members\u2019 self-report of unmet needs during treatment and treatment discontinuation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A sample of Virginia Medicaid members aged 21\u2009years or older with OUD diagnoses who received outpatient OUD treatment completed a mail survey between January 2020 and August 2021 (n\u2009=\u20091042, weighted n\u2009=\u20099244). A treatment experience index was constructed from responses to four items from the Consumer Assessment of Healthcare Providers and Systems (CAHPS) relating to feelings of involvement, safety, and respect and having treatment explained in an understandable way; two additional CAHPS items: \u201cgiven options for treatment\u201d and \u201cable to refuse treatment\u201d were also assessed. Weighted imputed logistic regressions tested adjusted associations between members\u2019 treatment experiences, demographic and social factors, and two outcomes capturing unmet needs during treatment and treatment discontinuation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>More positive scores on the treatment experiences index were associated with lower adjusted odds of reporting unmet needs during treatment (aOR: 0.52, 95% CI: 0.41-0.66) and discontinuation (aOR: 0.63, 95% CI: 0.47-0.79). Respondents with serious psychological distress had higher odds of reporting unmet needs during treatment (aOR: 1.69 95% CI: 1.14-2.51) and discontinuation (aOR: 1.84, 95% CI: 1.21-2.82), as did individuals with housing insecurity (unmet needs: (aOR: 1.65, 95% CI: 1.11-2.44); treatment discontinuation: (aOR: 1.56, 95% CI: 1.04-2.36)).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Using a first-of-its-kind survey of Medicaid members with OUD, we found that members who had more positive treatment experiences were less likely to report unmet treatment needs and discontinue treatment. Care approaches focused on improving patient experience are critical to delivering effective, high-quality OUD treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08897077231186218","type":"journal-article","created":{"date-parts":[[2023,9,15]],"date-time":"2023-09-15T02:20:02Z","timestamp":1694744402000},"page":"196-208","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Associations Between Patient-Reported Experiences with Opioid Use Disorder Treatment and Unmet Treatment Needs and Discontinuation Among Virginia Medicaid Members"],"prefix":"10.1177","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3468-3474","authenticated-orcid":false,"given":"Sarah J.","family":"Marks","sequence":"first","affiliation":[{"name":"Department of Health Behavior and Policy, Virginia Commonwealth University, Richmond, USA"},{"name":"Medical Scientist Training Program, Virginia Commonwealth University, Richmond, VA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huyen","family":"Pham","sequence":"additional","affiliation":[{"name":"Semel Institute for Neuroscience and Human Behavior, University of California Los Angeles, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neil","family":"McCray","sequence":"additional","affiliation":[{"name":"Virginia Department of Medical Assistance Services, Richmond, VA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Palazzolo","sequence":"additional","affiliation":[{"name":"Virginia Department of Medical Assistance Services, Richmond, VA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashley","family":"Harrell","sequence":"additional","affiliation":[{"name":"Virginia Department of Medical Assistance Services, Richmond, VA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4838-7489","authenticated-orcid":false,"given":"Jason","family":"Lowe","sequence":"additional","affiliation":[{"name":"Virginia Department of Medical Assistance Services, Richmond, VA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chethan","family":"Bachireddy","sequence":"additional","affiliation":[{"name":"Virginia Department of Medical Assistance Services, Richmond, VA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lauren","family":"Guerra","sequence":"additional","affiliation":[{"name":"Department of Health Behavior and Policy, Virginia Commonwealth University, Richmond, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter J.","family":"Cunningham","sequence":"additional","affiliation":[{"name":"Department of Health Behavior and Policy, Virginia Commonwealth University, Richmond, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew J.","family":"Barnes","sequence":"additional","affiliation":[{"name":"Department of Health Behavior and Policy, Virginia Commonwealth University, Richmond, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,9,14]]},"reference":[{"key":"bibr1-08897077231186218","unstructured":"Abuse NI on D. Overdose death rates. National Institute on Drug Abuse. January 20, 2022. Accessed November 25, 2022. https:\/\/nida.nih.gov\/research-topics\/trends-statistics\/overdose-death-rates"},{"key":"bibr2-08897077231186218","unstructured":"Ahmad F, Rossen L, Sutton P. Provisional drug overdose death counts. 2021. Accessed September 21, 2021. https:\/\/www.cdc.gov\/nchs\/nvss\/vsrr\/drug-overdose-data.htm"},{"key":"bibr3-08897077231186218","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2018.3126"},{"key":"bibr4-08897077231186218","doi-asserted-by":"publisher","DOI":"10.1186\/s13722-021-00223-z"},{"key":"bibr5-08897077231186218","doi-asserted-by":"publisher","DOI":"10.1097\/HRP.0000000000000075"},{"key":"bibr6-08897077231186218","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2019.19060612"},{"key":"bibr7-08897077231186218","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2019.20622"},{"key":"bibr8-08897077231186218","doi-asserted-by":"publisher","DOI":"10.1097\/JAC.0b013e318249e0fd"},{"issue":"3","key":"bibr9-08897077231186218","first-page":"7","volume":"15","author":"Allin S","year":"2009","journal-title":"Eurohealth"},{"key":"bibr10-08897077231186218","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2009.10.027"},{"key":"bibr11-08897077231186218","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2021.107215"},{"key":"bibr12-08897077231186218","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2018.06.001"},{"key":"bibr13-08897077231186218","volume-title":"The Opioid Epidemic and Medicaid\u2019s Role in Facilitating Access to Treatment","volume":"8","author":"Orgera K"},{"key":"bibr14-08897077231186218","unstructured":"MACPAC. Medicaid and the opioid epidemic. MACPAC. June 2017. Accessed October 26, 2022. https:\/\/www.macpac.gov\/publication\/medicaid-and-the-opioid-epidemic\/"},{"key":"bibr15-08897077231186218","volume-title":"Medicaid: A Primer \u2013 Key Information on the Nation\u2019s Health Coverage Program for Low-Income People","author":"Kaiser Family Foundation"},{"key":"bibr16-08897077231186218","unstructured":"Kaiser Family Foundation. Status of State Medicaid Expansion Decisions: Interactive Map. July 3, 2023. Accessed July 3, 2023. https:\/\/www.kff.org\/medicaid\/issue-brief\/status-of-state-medicaid-expansion-decisions-interactive-map\/"},{"key":"bibr17-08897077231186218","volume-title":"Medicaid\u2019s Role in Financing Behavioral Health Services for Low-Income Individuals","author":"Zur J"},{"key":"bibr18-08897077231186218","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.12411"},{"key":"bibr19-08897077231186218","unstructured":"Kaiser Family Foundation. Medicaid waiver tracker: approved and pending section 1115 waivers by state. Waivers with SDOH & Other DSR Changes. August 19, 2022. Accessed August 30, 2022. https:\/\/www.kff.org\/medicaid\/issue-brief\/medicaid-waiver-tracker-approved-and-pending-section-1115-waivers-by-state\/"},{"key":"bibr20-08897077231186218","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2019.00525"},{"key":"bibr21-08897077231186218","unstructured":"Saxe-Walker L, Pham H, Cunningham PJ, Barnes AJ. Substance Use Disorder Treatment in Virginia: A Role for Medicaid Expansion. Virginia Commonwealth University, Department of Health Behavior and Policy: 3. https:\/\/hbp.vcu.edu\/media\/hbp-dev\/pdfx27s\/policy-briefs\/arts\/HBP_ARTSIssue04_ACC.pdf"},{"key":"bibr22-08897077231186218","doi-asserted-by":"publisher","DOI":"10.1080\/08897077.2022.2095082"},{"key":"bibr23-08897077231186218","unstructured":"Examining the Quality of Opioid Use Disorder Treatment for Medicaid Enrollees | Academy Health. Accessed November 25, 2022. https:\/\/academyhealth.org\/about\/programs\/examining-quality-opioid-use-disorder-treatment-medicaid-enrollees"},{"key":"bibr24-08897077231186218","doi-asserted-by":"publisher","DOI":"10.31478\/202004b"},{"key":"bibr25-08897077231186218","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2014.12.011"},{"key":"bibr26-08897077231186218","doi-asserted-by":"publisher","DOI":"10.1377\/forefront.20230123.872562"},{"key":"bibr27-08897077231186218","unstructured":"Pierre-Louis S, Pham H, Marks S, et al. Member Experiences with Opioid Use Disorder Treatment Services in the Virginia Medicaid Program. Virginia Commonwealth University, Department of Health Behavior and Policy; 2022. Accessed August 26, 2022. https:\/\/hbp.vcu.edu\/media\/hbp\/policybriefs\/pdfs\/ARTSmembersurveyreport.5.5.22.pdf"},{"key":"bibr28-08897077231186218","unstructured":"Center for Behavioral Health Statistics and Quality. 2019 National Survey on Drug Use and Health (NSDUH): CAI Specifications for Programming (English Version). Substance Abuse and Mental Health Services Administration, Rockville, MD; 2018."},{"key":"bibr29-08897077231186218","unstructured":"NHIS - National Health Interview Survey. November 2, 2022. Accessed November 30, 2022. https:\/\/www.cdc.gov\/nchs\/nhis\/index.htm"},{"key":"bibr30-08897077231186218","unstructured":"Agency for Healthcare Research and Quality. Development of the CAHPS-ECHO Survey. Published 2011. Accessed September 1, 2021. https:\/\/www.ahrq.gov\/cahps\/surveys-guidance\/echo\/about\/Development-ECHO-Survey.html#:~:text=TheCAHPS\u00aeExperience\/of\/Care\/%2\/Health,input\/from\/behavioral\/health\/care\/experts\/and\/consumers"},{"key":"bibr31-08897077231186218","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2015.01.009"},{"key":"bibr32-08897077231186218","doi-asserted-by":"publisher","DOI":"10.1186\/s13011-019-0215-4"},{"key":"bibr33-08897077231186218","doi-asserted-by":"publisher","DOI":"10.1057\/biosoc.2015.46"},{"key":"bibr34-08897077231186218","doi-asserted-by":"publisher","DOI":"10.1177\/11782218221098418"},{"key":"bibr35-08897077231186218","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000004307"},{"key":"bibr36-08897077231186218","doi-asserted-by":"publisher","DOI":"10.1111\/add.14991"},{"key":"bibr37-08897077231186218","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0232086"},{"key":"bibr38-08897077231186218","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2017.11.034"},{"key":"bibr39-08897077231186218","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201700363"},{"key":"bibr40-08897077231186218","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2009.02538.x"},{"key":"bibr41-08897077231186218","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2017.0584"},{"key":"bibr42-08897077231186218","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2018.09.001"},{"key":"bibr43-08897077231186218","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2021.306577"},{"key":"bibr44-08897077231186218","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291702006074"},{"key":"bibr45-08897077231186218","doi-asserted-by":"publisher","DOI":"10.1002\/mpr.1349"},{"key":"bibr46-08897077231186218","doi-asserted-by":"publisher","DOI":"10.1111\/add.15116"},{"key":"bibr47-08897077231186218","doi-asserted-by":"publisher","DOI":"10.1111\/acem.14197"},{"key":"bibr48-08897077231186218","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2021.108619"},{"key":"bibr49-08897077231186218","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.25120"},{"key":"bibr50-08897077231186218","doi-asserted-by":"publisher","DOI":"10.1002\/mpr.329"},{"key":"bibr51-08897077231186218","volume-title":"Multiple Imputation for Nonresponse in Surveys","author":"Rubin DB.","year":"2004"},{"key":"bibr52-08897077231186218","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-020-06257-4"},{"key":"bibr53-08897077231186218","doi-asserted-by":"publisher","DOI":"10.1186\/s13011-016-0085-y"},{"key":"bibr54-08897077231186218","unstructured":"A Selection of PCORI-Funded Projects That Address Opioid Use Disorders. A selection of PCORI-funded projects that address opioid use disorders. PCORI. May 1, 2019. Accessed November 30, 2022. https:\/\/www.pcori.org\/meetings-events\/health-journalism-2019-key-topics\/selection-pcori-funded-projects-address-opioid-use"},{"key":"bibr55-08897077231186218","unstructured":"AHQR. Engaging Patient Opioid Use Disorder Treatment. The Academy. Accessed November 29, 2022. https:\/\/integrationacademy.ahrq.gov\/products\/playbooks\/opioid-use-disorder\/implement-mat-for-oud\/engaging-patients-oud-treatment"},{"key":"bibr56-08897077231186218","doi-asserted-by":"publisher","DOI":"10.1080\/08897077.2021.2010251"},{"key":"bibr57-08897077231186218","doi-asserted-by":"publisher","DOI":"10.1111\/dar.12411"},{"key":"bibr58-08897077231186218","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2015.06.010"},{"key":"bibr59-08897077231186218","unstructured":"Kentucky Opioid Response Effort Supportive Assistance with Medication for Addiction Treatment Expansion Final Resport. April 12, 2022. Accessed November 13, 2022. https:\/\/cdar.uky.edu\/CJKTOS\/Downloads\/KORE_SAMAT_Expansion_Final_Report.pdf"},{"key":"bibr60-08897077231186218","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.42695"}],"container-title":["Substance Abuse"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08897077231186218","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/08897077231186218","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08897077231186218","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T20:40:18Z","timestamp":1777668018000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/08897077231186218"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7]]},"references-count":60,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,7]]}},"alternative-id":["10.1177\/08897077231186218"],"URL":"https:\/\/doi.org\/10.1177\/08897077231186218","relation":{},"ISSN":["0889-7077","1547-0164"],"issn-type":[{"value":"0889-7077","type":"print"},{"value":"1547-0164","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7]]}}}