Artigo Revisado por pares

Reimbursement and Practice Policies among Providers of Buprenorphine-Naloxone Treatment

2013; SAGE Publishing; Volume: 34; Issue: 2 Linguagem: Inglês

10.1080/08897077.2012.677753

ISSN

1547-0164

Autores

Angela M. Wisniewski, Michael R. Dlugosz, Richard D. Blondell,

Tópico(s)

Mental Health Treatment and Access

Resumo

ABSTRACT Background: Physician acceptance of cash payment and low adherence to practice guidelines may contribute to buprenorphine-naloxone diversion. The purpose of this study was to investigate the clinical practice policies of physicians who provide office-based treatment for opioid dependence with buprenorphine-naloxone.Data were obtained from 31 of 71 practices surveyed (response rate 43.7%) that provided answers to at least some of the survey questions.Of these practices, 28 (90.3%) accepted cash as payment and 6 (19.4%) accepted only cash for treatment services. Analysis of open-ended responses to questions about office policies revealed wide variation among practices and overall suboptimal adherence to recommended treatment guidelines.These results underscore the need for continuing education for physicians who prescribe buprenorphine-naloxone.

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