Predictors of Family Medicine Patient Retention in Opioid Medication-Assisted Treatment

Kathryn Justesen, Stephanie A. Hooker, Michelle D. Sherman, Mary Lonergan-Cullum, Tanner Nissly, Robert Levy

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: Opioid use disorder is a prevalent and chronic condition that can lead to adverse outcomes if untreated. Medication-assisted treatment (MAT) with buprenorphine in a primary care setting has the potential to increase availability of treatment and reduce harm; however, retention in MAT is key for patient success. This study’s purpose was to examine predictors of retention in a MAT program for OUD in a family medicine residency clinic. Methods: A retrospective chart review was conducted for 238 patients diagnosed with OUD and receiving MAT at a family medicine residency clinic between 2015 to 2017, with visit and prescription data collected through December 2018. Cox-proportional hazards models were used to examine the length of time in treatment. Results: Over three-fourths of our patients were retained for at least 3 months, 69% for at least 6 months, and 48% retained for at least 1 year. Physician continuity of care and having insurance coverage significantly predicted retention and longer duration of treatment. Conclusions: Continuity of care and having health insurance were key predictors of patient retention in MAT care. Our findings emphasize the clinical significance of maintaining physician continuity of care to improve retention of patients with OUD in MAT programs. Future research could explore what aspects of continuity of care lead to retention in OUD treatment.

Original languageEnglish (US)
Pages (from-to)848-857
Number of pages10
JournalJournal of the American Board of Family Medicine
Volume33
Issue number6
DOIs
StatePublished - Nov 2020

Bibliographical note

Funding Information:
Funding: Financial support for this project has been received from The Minnesota Department of Human Services State Opioid Response grant. Sponsors did not serve a role in the design, data collection, analysis and interpretation, or manuscript preparation for this study. Conflict of interest: None.

Publisher Copyright:
© 2020 American Board of Family Medicine. All rights reserved.

Keywords

  • Buprenorphine
  • Continuity of Patient Care
  • Duration of Therapy
  • Family Physicians
  • Internship and Residency
  • Opioid-Related Disorders
  • Primary Health Care
  • Proportional Hazards Models
  • Retrospective Studies

PubMed: MeSH publication types

  • Journal Article
  • Research Support, Non-U.S. Gov't

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