Primary Care Visit Frequency Is Associated With Diagnosis But Not Pharmacotherapy Prescribing for Patients With Alcohol Use Disorder.

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Title: Primary Care Visit Frequency Is Associated With Diagnosis But Not Pharmacotherapy Prescribing for Patients With Alcohol Use Disorder.
Authors: Bishop, Ruth A (AUTHOR), Ward, Ralph (AUTHOR), Schreiner, Andrew (AUTHOR), McCauley, Jenna L (AUTHOR), Moran, William P (AUTHOR), Ball, Sarah (AUTHOR)
Source: Journal of Behavioral Health Services & Research. Jul2025, Vol. 52 Issue 3, p542-552. 11p.
Subjects: Alcoholism, Medical sciences, Primary care, Public health, Disulfiram
Abstract: Primary care has been proposed as an ideal setting for the management of alcohol use disorder (AUD); however, there is limited research on the diagnosis and prescribing patterns of medications for alcohol use disorder (MAUD) within primary care. This retrospective study aims to determine whether primary care engagement is associated with the likelihood of an AUD diagnosis or prescription of MAUD. Analyzing administrative claims data from a statewide cohort of 10,138 Medicaid enrollees, only 5.9% of patients diagnosed with AUD were prescribed MAUD (including naltrexone, acamprosate, disulfiram, and topiramate). Patients with higher levels of primary care visit frequency were significantly more likely to carry an AUD diagnosis (p <.0001); however, primary care visit frequency was not associated with prescription of MAUD. This study highlights the underutilization of MAUD within primary care, and the need for research identifying successful strategies to address barriers to prescribing MAUD in this setting. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Behavioral Health Services & Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Primary Care Visit Frequency Is Associated With Diagnosis But Not Pharmacotherapy Prescribing for Patients With Alcohol Use Disorder.
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  Data: Primary care has been proposed as an ideal setting for the management of alcohol use disorder (AUD); however, there is limited research on the diagnosis and prescribing patterns of medications for alcohol use disorder (MAUD) within primary care. This retrospective study aims to determine whether primary care engagement is associated with the likelihood of an AUD diagnosis or prescription of MAUD. Analyzing administrative claims data from a statewide cohort of 10,138 Medicaid enrollees, only 5.9% of patients diagnosed with AUD were prescribed MAUD (including naltrexone, acamprosate, disulfiram, and topiramate). Patients with higher levels of primary care visit frequency were significantly more likely to carry an AUD diagnosis (p &lt;.0001); however, primary care visit frequency was not associated with prescription of MAUD. This study highlights the underutilization of MAUD within primary care, and the need for research identifying successful strategies to address barriers to prescribing MAUD in this setting. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Journal of Behavioral Health Services &amp; Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1007/s11414-025-09942-6
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      – Code: eng
        Text: English
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        PageCount: 11
        StartPage: 542
    Subjects:
      – SubjectFull: Alcoholism
        Type: general
      – SubjectFull: Medical sciences
        Type: general
      – SubjectFull: Primary care
        Type: general
      – SubjectFull: Public health
        Type: general
      – SubjectFull: Disulfiram
        Type: general
    Titles:
      – TitleFull: Primary Care Visit Frequency Is Associated With Diagnosis But Not Pharmacotherapy Prescribing for Patients With Alcohol Use Disorder.
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            NameFull: Bishop, Ruth A
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            NameFull: Ward, Ralph
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            NameFull: Schreiner, Andrew
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            NameFull: McCauley, Jenna L
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            NameFull: Moran, William P
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            NameFull: Ball, Sarah
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            – D: 01
              M: 07
              Text: Jul2025
              Type: published
              Y: 2025
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              Value: 52
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