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Randomized trials have demonstrated the superior effectiveness of this treatment strategy, but its adoption by hospital providers has been slow. A number of barriers have impeded its implementation, including misperceptions about the regulation of opioid prescribing, limited resources for the transition to community\u2010based treatment, and a lack of familiarity among clinicians about the appropriate initiation and dose adjustment of these opioid agonists for maintenance therapy. We discuss changes in policy and practice to expand opportunities to engage patients with OUDs in opioid agonist treatment during their inpatient hospitalizations.<\/jats:p>","DOI":"10.12788\/jhm.2861","type":"journal-article","created":{"date-parts":[[2017,10,26]],"date-time":"2017-10-26T15:41:44Z","timestamp":1509032504000},"page":"62-64","source":"Crossref","is-referenced-by-count":13,"title":["Expanding Treatment Opportunities for Hospitalized Patients with Opioid Use Disorders"],"prefix":"10.1002","volume":"13","author":[{"given":"Daniel","family":"Winetsky","sequence":"first","affiliation":[{"name":"Division of Infectious Diseases Department of Medicine Columbia University Medical Center New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert M.","family":"Weinrieb","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Perelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeanmarie","family":"Perrone","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Perelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,10,18]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1508490"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.rr6501e1"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1990.03440230069035"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.3109\/00952999609001672"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1006\/pmed.1997.0250"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102458\u201012\u2010443"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2015.1424"},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995\u2010012\u20101046\u20103"},{"key":"e_1_2_4_10_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa1500439"},{"key":"e_1_2_4_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2008.04.015"},{"key":"e_1_2_4_12_1","doi-asserted-by":"crossref","unstructured":"NielsenS LaranceB DegenhardtL GowingL KehlerC LintzerisN.Opioid agonist treatment for pharmaceutical opioid dependent people.Cochrane Database Syst Rev.2016;(5):CD011117. doi:10.1002\/14651858.CD011117.pub2.","DOI":"10.1002\/14651858.CD011117.pub2"},{"key":"e_1_2_4_13_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.154.3.348"},{"issue":"6","key":"e_1_2_4_14_1","first-page":"176","article-title":"Lapse and relapse following inpatient treatment of opiate dependence","volume":"103","author":"Smyth BP","year":"2010","journal-title":"Ir Med J."},{"key":"e_1_2_4_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2014.01.010"},{"key":"e_1_2_4_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.326.7396.959"},{"key":"e_1_2_4_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.j1550"},{"key":"e_1_2_4_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/0376-8716(91)90090-L"},{"key":"e_1_2_4_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606\u2010010\u20101311\u20103"},{"key":"e_1_2_4_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2013.09.001"},{"key":"e_1_2_4_21_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2014.2556"},{"key":"e_1_2_4_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(09)61036\u20109"},{"key":"e_1_2_4_23_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.160290"},{"key":"e_1_2_4_24_1","unstructured":"Substance Abuse and Mental Health Services Administration.Special Circumstances for Providing Buprenorphine.https:\/\/www.samhsa.gov\/medication\u2010assisted\u2010treatment\/legislation\u2010regulations\u2010guidelines\/special\u2010circumstances\u2010providing\u2010buprenorphine. 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