• Preventive medicine · Nov 2021

    The intertwined expansion of telehealth and buprenorphine access from a prescriber hub.

    • David T Moore, Dora Lendvai Wischik, Christina M Lazar, Gabriela Garcia Vassallo, and Marc I Rosen.
    • VA Connecticut Healthcare System, West Haven, CT, USA; Yale University, School of Medicine, Department of Psychiatry, New Haven, CT, USA. Electronic address: David.Moore2cdbc8@va.gov.
    • Prev Med. 2021 Nov 1; 152 (Pt 2): 106603.

    AbstractIn this manuscript, we describe how efforts to increase access to buprenorphine for Opioid Use Disorder (OUD) through a telemedicine hub before and since the COVID-19 pandemic have played out in the Veterans Healthcare Administration (VHA) in New England. We look at how the COVID-19 pandemic and subsequent spike in opioid overdoses tilted the risk: benefit calculation for tele-prescribing a controlled substance such as buprenorphine toward expanding access to tele-buprenorphine. We conclude that there is a need for tele-buprenorphine hubs that can fill gaps in geographically dispersed healthcare systems.Copyright © 2021. Published by Elsevier Inc.

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