{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T08:32:52Z","timestamp":1777883572118,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2024,11,18]],"date-time":"2024-11-18T00:00:00Z","timestamp":1731888000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Substance Use &amp; Addiction Journal"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Opioid use disorder (OUD) is often under-addressed in hospitalized patients. In the absence of formal addiction consult services, volunteer physician-led models can increase access to inpatient OUD treatment. This paper describes a novel, volunteer physician-led interprofessional approach to identifying patients with OUD, initiating buprenorphine, and linking to office-based opioid treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The intervention took place from April 2018 to August 2020 at a large, urban, tertiary care center and teaching hospital in New York, NY that does not have an addiction consult service. Hospitalized patients with OUD were identified by provider-driven referrals or an automated daily patient list generated by a bioinformatics search algorithm. Eligible patients with OUD were started on buprenorphine during their hospitalization and linked to primary care-based buprenorphine treatment. Patients were followed longitudinally via chart review to assess follow-up clinic rates at &gt;30\u2009days, &gt;60\u2009days, &gt;90\u2009days, &gt;6\u2009months, &gt;12\u2009months, and &gt;24\u2009months after discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Over a 2-year period, 178 patients were evaluated, 88 were eligible for inpatient buprenorphine, and 47 were started on buprenorphine while hospitalized. Sixty-seven patients were referred to a post-discharge visit at a primary care practice, 29 (43%) of whom attended an appointment at least 30\u2009days after discharge. Of these, 22 (76%) returned at &gt;60\u2009days and 20 (69%) at 6\u2009months. At the 1-year time point, 16 of a possible 17 patients (94%) and 15 of a possible 16 patients (94%) were still engaged in care at 2\u2009years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This intervention represents a proof of principle, adaptable model for identifying patients with OUD and engaging patients in primary care-based buprenorphine treatment. Limitations to consider include the sustainability of a volunteer-based initiative and that retention rates for 1 to 2\u2009years post-discharge may be more indicative of the strengths of office-based opioid treatment itself as opposed to in-hospital engagement and the intervention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/29767342241292416","type":"journal-article","created":{"date-parts":[[2024,12,24]],"date-time":"2024-12-24T05:40:26Z","timestamp":1735018826000},"page":"377-383","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["A Hospital-Based Intervention to Improve Access to Buprenorphine for Patients with Opioid Use Disorder"],"prefix":"10.1177","volume":"46","author":[{"given":"Matthew","family":"Fine","sequence":"first","affiliation":[{"name":"Department of Medical Education, Icahn School of Medicine at Mount Sinai, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leeza","family":"Hirt Wilner","sequence":"additional","affiliation":[{"name":"Department of Medical Education, Icahn School of Medicine at Mount Sinai, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3598-616X","authenticated-orcid":false,"given":"Cameron K.","family":"Ormiston","sequence":"additional","affiliation":[{"name":"Department of Medical Education, Icahn School of Medicine at Mount Sinai, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda","family":"Wang","sequence":"additional","affiliation":[{"name":"Samuel Bronfman Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Trevor G.","family":"Lee","sequence":"additional","affiliation":[{"name":"San Francisco Department of Public Health, San Francisco, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Herscher","sequence":"additional","affiliation":[{"name":"Samuel Bronfman Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,11,18]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Weiss AJ Elixhauser A Barrett ML Steiner CA Bailey MK O\u2019Malley L. Opioid-related inpatient stays and emergency department visits by state 2009-2014: statistical brief# 219. HCUP Statistical Brief. Published online 2016. Accessed February 10 2024. https:\/\/europepmc.org\/books\/n\/hcupsb\/sb219\/?extid=21413206&src=med"},{"key":"e_1_3_3_3_2","unstructured":"Provisional Data Shows U.S. Drug Overdose Deaths Top 100 000 in 2022. 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