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Investigating Drivers of Antireward in Addiction Behavior with Anatomically Specific Single-Cell Gene Expression Methods

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Exploring Preferences for Communication and Care Among Hospitalized Patients With Opioid Use Disorder: A Qualitative

M Holliday Davis¹, Rachel French, Molly Crowe

¹Center for Addiction Medicine and Policy, University of Pennsylvania, Philadelphia, PA (MHD); Division of General Internal Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA (MHD); School of Nursing, University of Pennsylvania, Philadelphia, PA (MHD); National Clinician Scholars Program, University of Pennsylvania, 423 Guardian Drive, Philadelphia, PA (RF); Leonard Davis Institute for Health Economics, University of Pennsylvania, Philadelphia, PA (RF); Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA (MC); Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA (MA); College of Arts and Sciences, University of Pennsylvania, Philadelphia, PA (GE); Leonard Davis Institute for Health Economics, University of Pennsylvania, Philadelphia, PA (SA); School of Nursing, University of Pennsylvania, Philadelphia, PA (SA); Leonard Davis Institute for Health Economics, University of Pennsylvania, Philadelphia, PA (DSM); Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA (DSM); Research Director, Center for Addiction Medicine and Policy, University of Pennsylvania, Philadelphia, PA (ML); Leonard Davis Institute for Health Economics, University of Pennsylvania, 3641 Locust Walk, Philadelphia, PA (ML); and Division of General Internal Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA (ML).

Journal of Addiction Medicine

|February 3, 2025

Summary

Hospitalized patients with opioid use disorder (OUD) prioritize clear, empathic communication and shared decision-making. These elements are crucial for improving their care and fostering trust with healthcare teams.

Keywords:

addiction medicine collaborative care communication preferences empathy harm reduction hospitalization opioid use disorder (OUD)patient engagement qualitative descriptive study stigma reduction

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Published on: July 4, 2018

Area of Science:

Medical Communication
Patient-Centered Care
Addiction Medicine

Background:

Opioid use disorder (OUD) presents complex challenges in inpatient settings.
Effective communication is vital for successful patient outcomes and treatment adherence.
Understanding patient priorities can enhance the quality of care for individuals with OUD.

Purpose of the Study:

To explore hospitalized patients' priorities for effective communication and care.
To identify key themes in patient preferences for interacting with inpatient care teams.
To inform strategies for improving communication in OUD treatment.

Main Methods:

Qualitative descriptive study utilizing semistructured interviews.
Conducted with hospitalized patients diagnosed with opioid use disorder (OUD).
Thematic content analysis of recorded and transcribed interviews.

Main Results:

Three primary themes emerged: effectiveness, reciprocity, and empathy in communication.
Patients desired clear, frequent, and collaborative communication from providers.
Non-stigmatizing interactions that acknowledge patient experiences and individuality were highly valued.

Conclusions:

Effective, empathic communication and shared decision-making are favored by patients with OUD.
These communication strategies can potentially improve treatment outcomes for hospitalized patients with OUD.
Findings highlight the need for stigma reduction and expanded OUD treatment resources.