P. Todd Korthuis, MD, MPH; Dennis McCarty, PhD; Melissa Weimer, DO, MCR; Christina Bougatsos, MPH; Ian Blazina, MPH; Bernadette Zakher, MBBS; Sara Grusing, BS; Beth Devine, PhD, PharmD, MBA; Roger Chou, MD
Disclaimer: The authors of this manuscript are responsible for its content. Statements in the manuscript should not be construed as endorsement by the AHRQ or the U.S. Department of Health and Human Services. The AHRQ retains a license to display, reproduce, and distribute the data and the report from which this manuscript was derived under the terms of the agency's contract with the author.
Financial Support: This project was funded under contract HHSA290201500009I, Task Order 4, from the AHRQ, U.S. Department of Health and Human Services.
Disclosures: Dr. McCarty reports research services agreements with Alkermes and Purdue Pharma outside the submitted work. Dr. Weimer reports personal fees from Indivior, the American Academy of Addiction Psychiatry, InforMED, and CODA outside the submitted work. Authors not named here have disclosed no conflicts of interest. Disclosures can also be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M16-2149.
Editors' Disclosures: Christine Laine, MD, MPH, Editor in Chief, reports that she has no financial relationships or interests to disclose. Darren B. Taichman, MD, PhD, Executive Deputy Editor, reports that he has no financial relationships or interests to disclose. Cynthia D. Mulrow, MD, MSc, Senior Deputy Editor, reports that she has no relationships or interests to disclose. Deborah Cotton, MD, MPH, Deputy Editor, reports that she has no financial relationships or interest to disclose. Jaya K. Rao, MD, MHS, Deputy Editor, reports that she has stock holdings/options in Eli Lilly and Pfizer. Sankey V. Williams, MD, Deputy Editor, reports that he has no financial relationships or interests to disclose. Catharine B. Stack, PhD, MS, Deputy Editor for Statistics, reports that she has stock holdings in Pfizer and Johnson & Johnson.
Requests for Single Reprints: P. Todd Korthuis, MD, MPH, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Mail Code L-475, Portland, OR 97239-3098; e-mail, firstname.lastname@example.org.
Current Author Addresses: Drs. Korthuis and Weimer: Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Mail Code L-475, Portland, OR 97239-3098.
Dr. McCarty: OHSU-PSU School of Public Health, CB669, 3186 SW Sam Jackson Park Road, Portland, OR 97239.
Dr. Devine: University of Washington, Box 357630, Seattle, WA 98195-7630.
Ms. Bougatsos, Mr. Blazina, Drs. Zakher and Chou, and Ms. Grusing: Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Mail Code BICC, Portland, OR 97239.
Author Contributions: Conception and design: P.T. Korthuis, D. McCarty, M. Weimer, B. Devine, R. Chou.
Analysis and interpretation of the data: P.T. Korthuis, D. McCarty, M. Weimer, C. Bougatsos, B. Zakher, S. Grusing, R. Chou.
Drafting of the article: P.T. Korthuis, D. McCarty, C. Bougatsos, R. Chou.
Critical revision of the article for important intellectual content: P.T. Korthuis, D. McCarty, M. Weimer, I. Blazina, B. Zakher, B. Devine, R. Chou.
Final approval of the article: P.T. Korthuis, D. McCarty, M. Weimer, C. Bougatsos, I. Blazina, B. Zakher, S. Grusing, B. Devine, R. Chou.
Obtaining of funding: R. Chou.
Administrative, technical, or logistic support: C. Bougatsos, I. Blazina, S. Grusing.
Collection and assembly of data: P.T. Korthuis, D. McCarty, M. Weimer, C. Bougatsos, I. Blazina, B. Zakher, S. Grusing, R. Chou.
Greater integration of medication-assisted treatment (MAT) for opioid use disorder (OUD) in U.S. primary care settings would expand access to treatment for this condition. Models for integrating MAT into primary care vary in structure. This article summarizes findings of a technical report for the Agency for Healthcare Research and Quality describing MAT models of care for OUD, based on a literature review and interviews with key informants in the field. The report describes 12 representative models of care for integrating MAT into primary care settings that could be considered for adaptation across diverse health care settings. Common components of existing care models include pharmacotherapy with buprenorphine or naltrexone, provider and community education, coordination and integration of OUD treatment with other medical and psychological needs, and psychosocial services and interventions. Models vary in how each component is implemented. Decisions about adopting MAT models of care should be individualized to address the unique milieu of each implementation setting.
Table 1. Key Informants (n = 11)
Appendix Table 1. Sample Questions for Key Informants
Appendix Table 2. Search Strategies
Table 2. Sources for MAT Models of Care
Table 3. Overview of MAT Models of Care for OUD in the Primary Care Setting*
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Korthuis PT, McCarty D, Weimer M, Bougatsos C, Blazina I, Zakher B, et al. Primary Care–Based Models for the Treatment of Opioid Use Disorder: A Scoping Review. Ann Intern Med. 2017;166:268-278. doi: 10.7326/M16-2149
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Published: Ann Intern Med. 2017;166(4):268-278.
Published at www.annals.org on 6 December 2016
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