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Rural Health
Resources by Topic: Prescription drug misuse

Patient Satisfaction with Medications for Opioid Use Disorder Treatment via Telemedicine: Brief Literature Review and Development of a New Assessment
Study assessing patient satisfaction with telemedicine-delivered medications for opioid use disorder (tMOUD). Discusses barriers to delivery of medications for opioid use disorder in rural areas. Offers a literature review and pilot survey data from 65 patients at a treatment clinic on Maryland's Eastern Shore, addressing future directions for telemedicine use in opioid use disorder (OUD) treatment programs.
Author(s): Thomas O. Cole, Darlene Robinson, Andrea Kelley-Freeman, et al.
Citation: Frontiers in Public Health, 8, 557275
Date: 01/2021
Type: Document
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Treatment for Opioid Use Disorder May Reduce Substantiated Cases of Child Abuse and Neglect
Highlights a study on the correlation between opioid use disorder (OUD) and child maltreatment. Specifically, the effect buprenorphine treatment for OUD has on rates of maltreatment. Discusses challenges and considerations for rural areas.
Author(s): Robin Ghertner, Mir M. Ali
Date: 01/2021
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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COVID-19 and Rural Harm Reduction Challenges in the U.S. Southern Mountains
Explores the relationship between drug use and COVID-19 infections in the Southern Mountains region of Appalachia. Highlights the changes caused by COVID-19 and the challenges harm reduction programs face in providing services, such as syringe exchanges, naloxone access, and COVID-19-related services.
Author(s): Bayla Ostrach, Lesly-Marie Buer, Sam Armbruster, et al.
Citation: Journal of Rural Health, 37(1), 252-255
Date: 01/2021
Type: Document
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COVID-19 During the Opioid Epidemic – Exacerbation of Stigma and Vulnerabilities
Explores how the lack of healthcare infrastructure in rural areas and the COVID-19 pandemic create particular challenges for people who use drugs (PWUDs). Discusses the stigma of seeking care during a pandemic and the difficulty of accessing living resources, among other issues affecting PWUDs in rural areas.
Author(s): Wiley D. Jenkins, Rebecca Bolinski, John Bresett, et al.
Citation: Journal of Rural Health, 37(1), 172-174
Date: 01/2021
Type: Document
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A Primary Care Response to COVID‐19 for Patients with an Opioid Use Disorder
Discusses the challenges of treating patients with opioid use disorder (OUD) during the COVID-19 pandemic. Highlights decisions made by primary care physicians regarding harm reduction related to COVID-19 that may have detrimental effects for OUD patient.
Author(s): Courtenay Gilmore Wilson, Melinda Ramage, E. Blake Fagan
Citation: Journal of Rural Health, 37(1), 169-171
Date: 01/2021
Type: Document
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Treating a Public Health Crisis for Rural Moms – A Comparative Analysis of Four Rural States Addressing Maternal Opioid Misuse with Medicaid Innovation Models
Discusses how four states - Colorado, Indiana, Maine, and Missouri - have used the Maternal Opioid Misuse (MOM) model to address maternal opioid use disorders among rural Medicaid beneficiaries. Compares different approaches taken by each state, including benefit eligibility, health insurance payers and health systems partnerships, and telehealth utilization.
Author(s): Jason Semprini
Citation: Online Journal of Rural Research & Policy, 16(2)
Date: 2021
Type: Document
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Exploring the Role of Health Centers in Providing Medication-assisted Treatment
Examines the geographic areas that are most dependent on health centers for medication-assisted treatment (MAT) for opioid use disorder. Compares statistics on DATA-waived providers and health centers with MAT patients across metropolitan, non-metropolitan, and rural health centers.
Date: 2021
Type: Document
Sponsoring organization: Health Resources and Services Administration
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Opioid Initiation and Injection Transition in Rural Northern New England: A Mixed-methods Approach
Highlights a study on opioid initiation and transition to opioid injection in rural New England. Bases findings on interviews with opioid users in 11 rural counties in Massachusetts, Vermont, and New Hampshire. Tracks the time and circumstances of first opioid use to first opioid injection.
Author(s): Kerry Nolte, Aurora L. Drew, Peter D. Friedmann, et al.
Citation: Drug and Alcohol Dependence, 217(1), 108256
Date: 12/2020
Type: Document
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Prevalence and Geographic Distribution of Obstetrician-Gynecologists Who Treat Medicaid Enrollees and Are Trained to Prescribe Buprenorphine
Highlights a study on the geographic distribution of Medicaid-claimant obstetrician-gynecologists trained to prescribe buprenorphine for opioid use disorder. Compares provider prevalence in rural versus urban counties.
Author(s): Max Jordan Nguemeni Tiako, Jennifer Culhane, Eugenia South, et al.
Citation: JAMA Network Open, 3(12), e2029043
Date: 12/2020
Type: Document
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How Does DATA-Waiver Provider Patient Capacity Relate to Opioid and Buprenorphine Prescribing?
Explores if regulatory changes to increase the patient capacity among buprenorphine waivered providers effects buprenorphine and opioids prescription rates at the county-level. Compares prescription rates by metropolitan and non-metropolitan counties.
Author(s): Robin Ghertner, Mir M. Ali
Date: 12/2020
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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