Access to medications for opioid use disorder among primary care patients with homeless experience in the Department of Veterans Affairs.

ABSTRACT:

Background

Primary care settings tailored for persons with experience of homelessness (PEH) could enhance opioid use disorder treatment delivery, but evidence is lacking.

Objective

To examine medication treatment for opioid use disorder (MOUD) among PEH who received homeless-tailored primary care in the Department of Veterans Affairs (VA).

Methods

Receipt of MOUD was assessed from electronic health records among VA primary care patients with experience of homelessness and OUD in 2016-2020. We estimated the proportion who received MOUD over time and applied mixed effect Poisson models with entropy balance weighting to estimate differences in MOUD by primary care type (homeless-tailored vs. mainstream). Secondary analyses examined the consistency of findings across 18VA

SUBMITTER: Jones AL 

PROVIDER: S-EPMC12829735 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature