Patient-centered care's relationship with substance use disorder treatment utilization

Calls for more patient-centered care are growing in the substance use disorder (SUD) treatment field. However, evidence is sparse regarding whether patient-centered care improves access to, or utilization of, effective treatment services. Using nationally representative survey data from SUD treatmen...

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Veröffentlicht in:Journal of substance abuse treatment 2020-11, Vol.118, p.108125-108125, Article 108125
Hauptverfasser: Park, Sunggeun (Ethan), Mosley, Jennifer E., Grogan, Colleen M., Pollack, Harold A., Humphreys, Keith, D'Aunno, Thomas, Friedmann, Peter D.
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Sprache:eng
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Zusammenfassung:Calls for more patient-centered care are growing in the substance use disorder (SUD) treatment field. However, evidence is sparse regarding whether patient-centered care improves access to, or utilization of, effective treatment services. Using nationally representative survey data from SUD treatment clinics in the United States, we examine the association between patient-centered clinical care and the utilization of six services: methadone, buprenorphine, behavioral treatment, routine medical care, HIV testing, and suicide prevention counseling. We measured clinics' practice of and emphasis on patient-centered care with two variables: (1) whether the clinic regularly invites patients into clinical decision-making processes, and (2) whether supervisors believe in patient-centered healthcare and shared decision-making practices within their clinics. In 2017, only 23% of SUD treatment clinics regularly invited patients into care decision-making meetings when their cases were discussed. A composite variable captured clinical supervisors' own experience with and expectations for patient-clinician interaction within their clinics (Cronbach's alpha = 0.79). Results from regression models that controlled for several organizational and environmental factors show that patient-centered care was independently associated with greater utilization of four of six evidence-based services. A minority of SUD clinics practice patient-centered healthcare in the United States. Given the connection to evidence-based services, increasing participatory mechanisms in SUD treatment service provision can facilitate patients' access to appropriate and evidence-based services. •Demand for patient-centered care is growing in the addiction treatment field.•In 2017, 23% of clinics invited patients to the clinical decision-making process.•Patient-centered care was strongly associated with greater service utilization.
ISSN:0740-5472
1873-6483
DOI:10.1016/j.jsat.2020.108125