A new study shows that employing nurse care managers to assist patients with opioid addiction in primary care settings can significantly increase treatment rates. The intervention involved nurses helping clinicians manage urine drug screens, addressing patient social needs, and following up with patients who discontinued treatment. This approach led to a 19.7% increase in total days of treatment per 10,000 patients over three years compared to clinics providing usual care.
Employing a nurse care manager to work with patients who have an opioid addiction and prescribing partial or full opioid agonists can help more people enter treatment in primary care settings, according to new researchThe addition of a nurse who helped clinicians check urine screens, address patient social needs and related conditions, and follow up with those who discontinued treatment, led to clinics providing more addiction care to those who needed it, the study found.
Treatment for opioid use disorder historically has been viewed by the medical community as a nonmedical issue and addiction, the result of poor patient willpower, Bradley said. The intervention helped normalize prescribing opioid antagonists among primary care clinicians. She said many clinicians are shocked to see drastic changes after they prescribe the drugs to patients.
The clinics were part of safety net, community health, integrated health, or university systems in New York, Florida, Michigan, Texas, and Washington State. Each system was given funding to hire a full-time nurse, which ranged from $76,673 to $147,590.
OPIOID ADDICTION PRIMARY CARE NURSE CARE MANAGER TREATMENT SOCIAL NEEDS
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