Coulter Katherine J, Hintzsche Mary F
Northern Illinois University, DeKalb, Illinois
Northern Illinois University, DeKalb, Illinois.
J Dr Nurs Pract. 2020 Nov 1;13(3):207-215. doi: 10.1891/JDNP-D-19-00068.
More than 130 Americans die from opioid overdose each day. To address the opioid epidemic, opioid treatment programs are in place to treat substance use disorder. These programs have seen an influx of patients and are not able to accommodate the number of patients. Primary care practices can help with the crisis by providing an office-based opioid treatment (OBOT) program.
To describe the necessary steps and considerations to put in place for implementing a telehealth OBOT program. Establishing a telehealth program for patients controlled on medication-assisted treatment can improve access to care, improve patient compliance, and redirect the workflow of the family practice.
After a literature review of established OBOT programs, state and federal laws, Medicare and reimbursement policies, a telehealth opioid treatment program was designed for private primary care practice.
Primary care practices can should implement an office based opioid treatment program via telehealth to improve workflow and accessibility to care.
To offer improved access to care for patients with opioid addiction and seamless workflow in the office-based setting, primary care practices should consider establishing their telehealth OBOT program based on the following recommendations.
每天有超过130名美国人死于阿片类药物过量。为应对阿片类药物流行问题，设立了阿片类药物治疗项目来治疗物质使用障碍。这些项目迎来了大量患者，无法容纳所有患者。初级保健机构可以通过提供基于办公室的阿片类药物治疗（OBOT）项目来帮助应对这一危机。
描述实施远程医疗OBOT项目所需的步骤和注意事项。为接受药物辅助治疗的患者建立远程医疗项目可以改善医疗服务的可及性，提高患者的依从性，并重新调整家庭医疗的工作流程。
在对已有的OBOT项目、州和联邦法律、医疗保险及报销政策进行文献综述后，为私人初级保健机构设计了一个远程医疗阿片类药物治疗项目。
初级保健机构应通过远程医疗实施基于办公室的阿片类药物治疗项目，以改善工作流程和医疗服务的可及性。
为了改善阿片类药物成瘾患者获得医疗服务的机会，并在基于办公室的环境中实现无缝工作流程，初级保健机构应根据以下建议考虑建立其远程医疗OBOT项目。
