Quality of Medication Treatment for Opioid Use Disorder in Medicaid-enrollees: The Effects of State Policies and Intiatives

项目摘要 阿片类药物使用障碍是一个重大的公共卫生危机，药物治疗是最有效的 对阿片类药物使用障碍患者的干预。国家政策和举措增加了药物治疗 过去十年中的治疗利用率，但不注意护理质量的利用率增加可能会限制 药物治疗的公共健康益处。许多州已经开始实施政策， 提高质量的举措，尽管在真实的世界环境中，这些举措的有效性几乎没有经验支持。 该项目将描述如何为接受阿片类药物治疗的医疗补助注册者提供优质护理 使用障碍和相关的健康结果随着时间的推移，总体上和历史上 服务不足和高风险人群。然后，我们将研究在多大程度上政策和倡议， 增加获得服务机会和旨在提高质量的措施与更好的护理质量有关， 总体健康结果，以及历史上服务不足和高风险人群的健康结果

Project Summary Opioid use disorders are a significant public health crisis, and medication treatment is the most effective intervention for individuals with opioid use disorder. State policies and initiatives have increased medication treatment utilization over the last decade, but increased utilization without attention to quality of care might limit the public health benefits of medication treatment. Many states have begun implementing policies and initiatives to improve quality, although with little empirical support of their effectiveness in real world settings. This project will characterize how quality care for Medicaid-enrollees receiving medication treatment for opioid use disorder and related health outcomes have changed over time, overall, and among historically underserved and high-risk populations. We will then examine the extent to which policies and initiatives that increase access and those aimed at improving quality are associated with better quality of care and related health outcomes, overall, and for historically underserved and high-risk populations