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. |
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| 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.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 185991115 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Primary Care Visit Frequency Is Associated With Diagnosis But Not Pharmacotherapy Prescribing for Patients With Alcohol Use Disorder. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Bishop%2C+Ruth+A%22">Bishop, Ruth A</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ward%2C+Ralph%22">Ward, Ralph</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Schreiner%2C+Andrew%22">Schreiner, Andrew</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22McCauley%2C+Jenna+L%22">McCauley, Jenna L</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Moran%2C+William+P%22">Moran, William P</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ball%2C+Sarah%22">Ball, Sarah</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Journal+of+Behavioral+Health+Services+%26+Research%22">Journal of Behavioral Health Services & Research</searchLink>. Jul2025, Vol. 52 Issue 3, p542-552. 11p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Alcoholism%22">Alcoholism</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+sciences%22">Medical sciences</searchLink><br /><searchLink fieldCode="DE" term="%22Primary+care%22">Primary care</searchLink><br /><searchLink fieldCode="DE" term="%22Public+health%22">Public health</searchLink><br /><searchLink fieldCode="DE" term="%22Disulfiram%22">Disulfiram</searchLink> – Name: Abstract Label: Abstract Group: Ab 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 <.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] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>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.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=185991115 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s11414-025-09942-6 Languages: – Code: eng Text: English PhysicalDescription: Pagination: 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. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Bishop, Ruth A – PersonEntity: Name: NameFull: Ward, Ralph – PersonEntity: Name: NameFull: Schreiner, Andrew – PersonEntity: Name: NameFull: McCauley, Jenna L – PersonEntity: Name: NameFull: Moran, William P – PersonEntity: Name: NameFull: Ball, Sarah IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 07 Text: Jul2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 10943412 Numbering: – Type: volume Value: 52 – Type: issue Value: 3 Titles: – TitleFull: Journal of Behavioral Health Services & Research Type: main |
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