A critical charge for improving opioid use disorder outcomes along the cascade.

A critical charge for improving opioid use disorder outcomes along the cascade.
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DOI:
10.1080/00952990.2021.1881533
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发表时间:
2021-03-04
期刊:
The American journal of drug and alcohol abuse
影响因子:
--
通讯作者:
Williams AR
Williams AR
中科院分区:
其他
文献类型:
--
作者:
Williams AR

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The Opioid Use Disorder Cascade of Care (OUD Cascade) has gained traction among federal and state leadership as well as health services researchers in recent years. This promising public health framework, borrowing from efforts to improve HIV outcomes, has contributed to data collection, reporting, and analysis to improve localities’ abilities to monitor their responses to the opioid crisis. The OUD Cascade emphasizes sequential stages of diagnosis, treatment entry, medication initiation, retention, and recovery for individuals with OUD (1). While the framework is intuitive, has face validity, and succinctly reflects how patients might progress through care, doubts have lingered (I can assure you among many a journal and grant reviewer...) as to whether the OUD Cascade has empiric value for predicting patient outcomes at the individual or population level.
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