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Patient Retention in a Substance Use Disorder Telemedicine Clinic.
Justine F Maxwell1, Sue S Feldman1, Li Li2
1From the Department of Health Services Administration.
Southern Medical Journal
|July 3, 2024
Summary
Telemedicine is as effective as in-person visits for substance use disorder (SUD) treatment retention. Increased urine drug screens correlate with higher attendance, suggesting a valuable tool for improving SUD treatment engagement.
Area of Science:
- Medical Research
- Public Health
- Telemedicine
Background:
- Substance Use Disorders (SUDs) are treatable, yet access and utilization of evidence-based treatments remain low.
- Telemedicine offers a potential solution to bridge gaps in traditional in-person SUD treatment accessibility.
- Opioid Use Disorder (OUD) treatment retention is crucial for patient outcomes.
Purpose of the Study:
- To compare the retention rates of telemedicine-delivered OUD treatment versus traditional in-person approaches.
- To explore factors influencing SUD treatment retention, such as drug screening frequency.
Main Methods:
- A cross-sectional study involving patients with OUD receiving buprenorphine/naloxone or buprenorphine treatment.
- Patients were categorized into in-person and telemedicine groups.
- Retention was assessed over 12 months; multiple linear regression and correlations were used.
Main Results:
- No significant difference in SUD treatment retention was found between telemedicine and in-person delivery.
- Each additional urine drug screen increased SUD treatment consultations by 0.69 (P < 0.001).
Conclusions:
- Telemedicine-delivered SUD treatment demonstrates equal retention effectiveness compared to in-person care.
- Telemedicine can be an effective alternative for patients facing access barriers or with lower likelihood of attending traditional sessions.
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