Evaluating Telemedicine-Related Opioid Use Disorder (OUD) Services in Underserved Populations: A Comparison of Waiver and Post-waiver Periods

该项目旨在确定预测休斯敦地区获得与OUD相关的远程医疗的因素 服务不足的社区，以及与艾滋病相关的远程医疗对治疗启动和 留存。这项拟议的研究承认，德克萨斯州的黑人和西班牙裔社区的比例是三倍 考虑到国家特定护理机会的交叉性，OUD治疗的不利因素 障碍、文化障碍和数字鸿沟。为了缩小这些患者的治疗差距 对于社区来说，重要的是将他们纳入有助于 制定一个了解文化的框架，为试点远程医疗冠军方案提供信息，以 倡导并解决在这一人群中使用远程医疗的障碍。利用混合方法 研究设计，建议的工作提供了一个多方面的方法来(1)更好地理解 使用与OUD相关的远程医疗开始治疗的经验、障碍和促进者 在豁免和非豁免时期的维护，(2)制定一个社区知情框架，以 与OUD相关的远程医疗，以及(3)试点与OUD相关的远程医疗冠军计划，将为 作为提高认识和主动解决治疗吸收和滞留方面差异的典范。

This project seeks to identify factors predictive of access to OUD-related telemedicine in Houston’s underserved communities, and the impact of OUD-related telemedicine on treatment initiation and retention. The proposed research recognizes that black and Hispanic communities in Texas are at a triple disadvantage for OUD treatment considering the intersectionality of state-specific access to care barriers, cultural barriers, and the digital divide. To narrow treatment disparity gaps in these communities, it is important to include them in the research process that contributes to the development of a culturally-informed, framework to inform a pilot telemedicine champion program to advocate for, and address barriers to telemedicine use in this population. Utilizing a mixed-methods research design, the proposed work provides a multi-faceted approach to (1) better understand experiences, barriers, and facilitators, with accessing OUD-related telemedicine for treatment initiation and maintenance during waiver vs non-waiver eras, (2) develop a community-informed framework for OUD-related telemedicine, and (3) pilot an OUD-related telemedicine champion program that will serve as a model to raise awareness of, and proactively address disparities in treatment uptake and retention.