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The case for chronic disease management for addiction
Richard Saitz1, Mary Jo Larson, Colleen Labelle
1Clinical Addiction Research and Education (CARE) Unit, Boston Medical Center, Boston, MA, USA.
Journal of Addiction Medicine
|September 28, 2011
Summary
Chronic disease management (CDM) offers a promising approach for substance dependence, a chronic illness often lacking adequate care. This patient-centered model integrates medical and addiction services for improved outcomes.
Area of Science:
- Healthcare Management
- Addiction Medicine
- Public Health
Background:
- Substance dependence is a chronic disease often receiving inadequate or fragmented care.
- Existing care models for substance dependence are frequently limited to short-term interventions.
- Chronic disease management (CDM) has proven effective for other chronic conditions like diabetes and heart failure.
Purpose of the Study:
- To describe a chronic disease management (CDM) model tailored for substance dependence.
- To present a conceptual framework for implementing CDM in substance use disorder care.
- To highlight the potential of CDM to improve care access and outcomes for individuals with substance dependence.
Main Methods:
- Review of existing evidence for CDM component elements.
- Description of a proposed CDM model integrating mental health and specialty addiction care.
- Discussion of strategies to reorganize primary and specialty healthcare for better access.
Main Results:
- Substance dependence requires longitudinal care, yet most patients receive insufficient treatment.
- CDM components, including integrated care and expert availability, individually improve outcomes.
- Evidence supports the effectiveness of CDM for other chronic diseases, suggesting its applicability to substance dependence.
Conclusions:
- A patient-centered, longitudinal Chronic Disease Management model shows promise for improving care for substance dependence.
- Integrating medical, specialty, and addiction care within a CDM framework can enhance treatment effectiveness.
- Reorganizing healthcare delivery to facilitate access is crucial for successful CDM implementation in substance use disorder treatment.
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