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Can Fam Physician. 2017 May;63(5):e277-e283.

First-line medications for alcohol use disorders among public drug plan beneficiaries in Ontario.

Author information

1
Family physician and addiction physician at Women's College Hospital in Toronto, Ont, and a lecturer at the University of Toronto. sheryl.spithoff@wchospital.ca.
2
Family physician and addiction physician at St Michael's Hospital in Toronto, Ont, and Assistant Professor at the University of Toronto.
3
Scientist at the Institute for Clinical Evaluative Sciences and in the Li Ka Shing Knowledge Institute at St Michael's Hospital, and is Assistant Professor at the University of Toronto.
4
Epidemiologist, the Institute for Clinical Evaluative Sciences.
5
Research project manager, the Institute for Clinical Evaluative Sciences.

Abstract

OBJECTIVE:

To examine use of first-line alcohol use disorder (AUD) medications (naltrexone and acamprosate) among public drug plan beneficiaries in the year following an AUD diagnosis.

DESIGN:

Retrospective population-based cohort study.

SETTING:

Ontario.

PARTICIPANTS:

Individuals eligible for public drug plan benefits who had an AUD diagnosis at a hospital visit between April 1, 2011, and March 31, 2012.

MAIN OUTCOME MEASURES:

Number of AUD medications dispensed to public drug plan beneficiaries who had a recent hospital visit with an AUD diagnosis, and number of prescriptions dispensed per person.

RESULTS:

A total of 10 394 Ontarians between 18 and 65 years of age were identified who had a hospital visit with an AUD diagnosis and were eligible for public drug plan benefits. The rate of AUD medications dispensed in the subsequent year was 3.56 per 1000 population (95% CI 2.51 to 4.91; n = 37). This rate did not differ significantly by sex (P = .83).

CONCLUSION:

Very few public drug plan beneficiaries are dispensed first-line AUD medications in the year following an AUD diagnosis.

PMID:
28500210
PMCID:
PMC5429069
[Indexed for MEDLINE]
Free PMC Article

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