Population-level impact of initiating pharmacotherapy and linking to care people with opioid use disorder at inpatient medically managed withdrawal programs: an effectiveness and cost-effectiveness analysis.

ABSTRACT:

Background and aims

Medications for opioid use disorder (MOUD) are shown to reduce opioid use and the risk of overdose. People with opioid use disorder (OUD) who exit inpatient medically managed withdrawal programs (detox) without initiating MOUD and linking to outpatient care have high rates of overdose. While detox encounters provide a theoretical opportunity for MOUD initiation, this is not ubiquitous in the United States. We used simulation modeling to estimate the population-level health effects and cost-effectiveness of a policy encouraging MOUD initiation during inpatient detox encounters.

Design, setting and participants

We employed a dynamic population state-transition model to evaluate the effectiveness and cost-effectiveness of using detox programs as venues for i

SUBMITTER: Savinkina A 

PROVIDER: S-EPMC9377514 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature