| Barriers to the implementation of medication-assisted treatment for substance use disorders: The importance of funding policies and medical infrastructure. | |
| | |
MedLine Citation:
|
PMID: 21371752 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
Despite growing interest in the use of evidence-based treatment practices, adoption of pharmacotherapies for treating substance use disorders (SUDs) remains modest. Using data from telephone interviews with 250 administrators of publicly funded SUD treatment programs, this study estimated a model of adoption of medication assisted treatment (MAT) for SUDs and examined the relative importance of regulatory, cultural, medical resource, patient-level, and funding barriers to MAT implementation. MAT-adopting programs had significantly greater medical resources, as measured by the employment of physicians and nurses, than non-adopting programs. Administrators of non-adopting programs were asked to rate the importance of 18 barriers to MAT implementation. The most strongly endorsed barriers were regulatory prohibitions due to the program's lack of medical staff, funding barriers to implementing MAT, and lack of access to medical personnel with expertise in delivering MAT. Barriers related to insufficient information about MAT and unsupportive staff attitudes were not widely endorsed. These findings suggest that efforts to promote the implementation of MAT that are inattentive to funding barriers and weaknesses in medical infrastructure may achieve sub-optimal results. |
| | |
Authors:
|
Hannah K Knudsen; Amanda J Abraham; Carrie B Oser |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-3-1 |
Journal Detail:
|
Title: Evaluation and program planning Volume: - ISSN: 1873-7870 ISO Abbreviation: - Publication Date: 2011 Mar |
Date Detail:
|
Created Date: 2011-3-4 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 7801727 Medline TA: Eval Program Plann Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
|
Copyright © 2011 Elsevier Ltd. All rights reserved. |
Affiliation:
|
Department of Behavioral Science and Center on Drug and Alcohol Research, University of Kentucky, United States. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Using a NIATx based local learning collaborative for performance improvement.
Next Document: Employing policy and purchasing levers to increase the use of evidence-based practices in community-...