Journal
SUBSTANCE ABUSE
Volume 43, Issue 1, Pages 222-230Publisher
SAGE PUBLICATIONS INC
DOI: 10.1080/08897077.2021.1931633
Keywords
Opioid use disorder; medication assisted treatment; treatment retention rate; medications for opioid use disorder; primary care; buprenorphine; Project ECHO
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Funding
- Leatherstocking Health Collaborative Partners (LCHP), as part of participation in New York State's Delivery System Reform Incentive Payment (DSRIP) project
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The Project ECHO tele-education model effectively increased the number of clinicians waivered to prescribe buprenorphine and subsequently increased the number of patients receiving this treatment. There was a moderate correlation between clinician engagement with ECHO training and rates of buprenorphine prescribing. The high 180-day retention rate in this rural context suggests that most patients are likely to have favorable outcomes.
Background: Our rural health system sought to (1) increase the number of primary care clinicians waivered to prescribe buprenorphine for treatment of opioid use disorder (OUD) and (2) consequently increase the number of our patients receiving this treatment. Methods: We used the Project for Extension for Community Health Outcomes (ECHO) tele-education model as an implementation strategy. We examined the number of clinicians newly waivered, the number of patients treated with buprenorphine, the relationship between clinician engagement with ECHO training and rates of buprenorphine prescribing, and treatment retention at 180 days. Results: The number of clinicians with a waiver and number of patients treated increased during and after ECHO training. There was a moderate correlation between the number of ECHO sessions attended by a clinician and number of their buprenorphine prescriptions (r = 0.50, p = 0.01). The 180-day retention rate was 80.7%. Conclusions: Project ECHO was highly effective for increasing access to this evidence-based treatment. The high retention rate in this rural context indicates that most patients are increasing their likelihood of favorable outcomes.
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