Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
J Addict Med. 2010 Jun;4(2):99-107. doi: 10.1097/ADM.0b013e3181b41a32.

Facilitating factors and barriers to the use of medications in publicly funded addiction treatment organizations.

Author information

  • 1Department of Behavioral Science, University of Kentucky, Lexington, KY 40536-0086, USA. Hannah.Knudsen@uky.edu

Abstract

OBJECTIVES:

Publicly funded addiction treatment organizations have been slow to adopt pharmacotherapies. Few studies have examined the organizational factors associated with adoption of different types of medication in this treatment sector. This study identifies organization-level facilitators and barriers to the use of medications in publicly funded addiction treatment organizations.

METHODS:

Face-to-face interviews with a sample of 318 administrators of a representative sample of publicly funded addiction treatment centers in the US.

RESULTS:

Only 23.4% of programs reported using any of the five FDA-approved pharmacotherapies for treating addiction. An additional 14.3% of programs only used medications approved for the treatment of psychiatric disorders. Multivariate multinomial logistic regression results revealed that the odds of adoption of addiction pharmacotherapies were significantly greater in government-owned programs and in programs with more medical personnel. Programs that relied more heavily on non-Medicaid public funding tended to be less likely to adopt addiction treatment medications. Greater contact with pharmaceutical representatives was positively associated with medication adoption.

CONCLUSIONS:

Current public funding policies and lack of access to medical personnel are barriers to the adoption of medications by publicly funded addiction treatment organizations. Efforts to promote adoption may also benefit from greater detailing activities by pharmaceutical representatives. These findings suggest that the large research investment devoted to developing addiction treatment medications may have limited public health impact due to the characteristics of publicly funded service delivery system as well as the limited attention given to this system by commercial purveyors of medications.

KEYWORDS:

health services research; medication adoption; medication-assisted treatment

PMID:
20835350
[PubMed]
PMCID:
PMC2935586
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Icon for Lippincott Williams & Wilkins Icon for PubMed Central
    Loading ...
    Write to the Help Desk