Abstract：
BACKGROUND:This study assesses the rate and predictors of treatment retention for primary care patients with opioid dependence-prescribed buprenorphine, a long-acting partial opioid agonist. METHODS:Observational cohort study of patients prescribed buprenorphine/naloxone and followed for 6 months in the period after the adoption of buprenophine/naloxone by a primary care practice in Rhode Island. Practice policy precluded patient discharges due to continuing drug use. RESULTS:Patients (n=41) had a mean duration of opioid use of 15.7 years and most had a history of heroin use (63.4%). Thirty-nine percent of patients transferred from methadone maintenance. At 24 weeks, 59% remained in treatment. Nearly half of dropouts occurred in the first 30 days. Participants with opiate-positive toxicologies at week 1 were more likely to drop out of the program (P<.01) and had a significantly shorter retention time (P<.01) on average. Among other drug use and drug treatment variables, employment and addiction counseling during treatment were significantly associated with treatment retention (P=.03). CONCLUSION:Retention rates in a real world, primary care-based buprenorphine maintenance practice reflect those reported in clinical trials. Abstinence during the first week of treatment and receipt of counseling were critical to patient retention.
journal_name
J Gen Intern Medjournal_title
Journal of general internal medicineauthors
Stein MD,Cioe P,Friedmann PDdoi
10.1111/j.1525-1497.2005.0228.xsubject
Has Abstractpub_date
2005-11-01 00:00:00pages
1038-41issue
11eissn
0884-8734issn
1525-1497pii
JGI228journal_volume
20pub_type
杂志文章abstract：BACKGROUND:Urine drug testing (UDT) is an essential tool to monitor opioid misuse among patients on chronic opioid therapy. Inaccurate interpretation of UDT can have deleterious consequences. Providers' ability to accurately interpret and document UDT, particularly definitive liquid chromatography-tandem mass spectrome...
journal_title：Journal of general internal medicine
pub_type： 杂志文章
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更新日期：2020-01-01 00:00:00
abstract：BACKGROUND:The healthcare system is ill-equipped to meet the needs of adults on the autism spectrum. OBJECTIVE:Our goal was to use a community-based participatory research (CBPR) approach to develop and evaluate tools to facilitate the primary healthcare of autistic adults. DESIGN:Toolkit development included cogniti...
journal_title：Journal of general internal medicine
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abstract：:Research on interventions within the standard of care has enormous potential, yet it also raises several ethical and regulatory challenges. Perhaps the most important is determining what consent process is needed for these "pragmatic" clinical trials. Some argue that pragmatic clinical trials need to obtain in-depth r...
journal_title：Journal of general internal medicine
pub_type： 杂志文章,评审
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abstract：OBJECTIVES:The telephone can facilitate medical care but also result in adverse outcomes leading to telephone-related malpractice suits. Analyzing claims might identify errors amenable to prevention. The objective of the study was to describe medical errors involving the telephone in patient-clinician encounters that s...
journal_title：Journal of general internal medicine
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更新日期：2008-05-01 00:00:00
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journal_title：Journal of general internal medicine
pub_type： 杂志文章,多中心研究
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更新日期：2018-10-01 00:00:00
abstract：OBJECTIVE:To quantify the magnitude of general medical and/or pharmacy claims expenditures for individuals who use behavioral health services and to assess future claims when behavioral service use persists. DESIGN:Retrospective cost trends and 24-month cohort analyses. SETTING:A Midwest health plan. PARTICIPANTS:Ov...
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doi：10.1111/j.1525-1497.2005.40099.x
更新日期：2005-02-01 00:00:00
abstract：BACKGROUND:A large proportion of deaths and chronic illnesses can be attributed to three modifiable risk factors: tobacco use, overweight/obesity, and physical inactivity. OBJECTIVE:To test whether telephone-based health coaching after completion of a comprehensive health risk assessment (HRA) increases patient activa...
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更新日期：2018-09-01 00:00:00
abstract：BACKGROUND:The Diabetes Prevention Program (DPP) intensive lifestyle intervention resulted in significant weight loss, reducing the development of diabetes, but needs to be adapted to primary care provider (PCP) practices. OBJECTIVES:To compare a DPP-translation using individual (IC) vs. conference (CC) calls delivere...
journal_title：Journal of general internal medicine
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1007/s11606-013-2529-7
更新日期：2013-12-01 00:00:00
abstract：:Although the benefit of population-level public facial masking to protect others during the COVID-19 pandemic has received a great deal of attention, we discuss for one of the first times the hypothesis that universal masking reduces the "inoculum" or dose of the virus for the mask-wearer, leading to more mild and asy...
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journal_title：Journal of general internal medicine
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abstract：:Over the past several decades, and particularly during the last 10 to 15 years, there has been a rapid increase in the accessibility of legalized gambling in the United States and other parts of the world. Few studies have systematically explored the relationships between patterns of gambling and health status. Existi...
journal_title：Journal of general internal medicine
pub_type： 杂志文章,评审
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更新日期：2002-09-01 00:00:00
abstract：BACKGROUND:The coronavirus disease 2019 (COVID-19) emerged in December 2019 and posed numerous challenges to China's health system. Almost 4 million primary care practitioners (PCPs) participated in controlling the outbreak. However, PCPs' barriers to and experience of the epidemic control remain unknown and are essent...
journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1007/s11606-020-06107-3
更新日期：2020-11-01 00:00:00
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journal_title：Journal of general internal medicine
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doi：10.1007/BF02599551
更新日期：1989-11-01 00:00:00
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journal_title：Journal of general internal medicine
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更新日期：2014-08-01 00:00:00
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更新日期：1989-09-01 00:00:00
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journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1007/s11606-008-0665-2
更新日期：2008-09-01 00:00:00
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journal_title：Journal of general internal medicine
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doi：10.1111/j.1525-1497.2004.30445.x
更新日期：2004-11-01 00:00:00
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更新日期：2009-05-01 00:00:00
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更新日期：2011-11-01 00:00:00
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更新日期：2021-01-08 00:00:00
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更新日期：2017-07-01 00:00:00
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journal_title：Journal of general internal medicine
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更新日期：1999-05-01 00:00:00
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更新日期：2009-02-01 00:00:00
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journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1007/s11606-007-0410-2
更新日期：2008-01-01 00:00:00
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journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1111/j.1525-1497.2004.30065.x
更新日期：2004-05-01 00:00:00
abstract：:Chronic care facility stay has been shown to be an independent risk factor for venous thromboembolism. Review of the literature, however, reveals a paucity of data addressing the issue of venous thromboembolism in nursing home residents. The purpose of this study was to determine the incidence of venous thromboembolic...
journal_title：Journal of general internal medicine
pub_type： 杂志文章
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更新日期：2003-11-01 00:00:00
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更新日期：2013-06-01 00:00:00
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journal_title：Journal of general internal medicine
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更新日期：2019-06-01 00:00:00
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更新日期：2006-06-01 00:00:00
