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Medicine and Health Sciences

University of Southern Maine

2019

Opioid use

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Opioid Use Disorder At Delivery Hospitalization In Maine: Prevalence And Characteristics (2009-2017), Sarah Gabrielson Apr 2019

Opioid Use Disorder At Delivery Hospitalization In Maine: Prevalence And Characteristics (2009-2017), Sarah Gabrielson

Thinking Matters Symposium Archive

A recent multi-state analysis found Maine had the second highest average annual increase in opioid use disorder (OUD) at delivery hospitalization, with 34.1 OUD per 1,000 delivery hospitalizations in 2012. The objective of this analysis is to describe the prevalence and characteristics of OUD deliveries in Maine using recent data. We used International Statistical Classification of Diseases and Related Health Problems diagnosis and procedure codes (9th & 10th revisions) to identify deliveries among all hospital discharges in Maine, 2009-2017 (n=109,004), and to categorize deliveries according to prevalence of OUD and selected medical conditions. We ran log-binomial regression to assess trends …


Opioid Use Treatment Via Telemedicine: Treatment Options For Rural Maine, Benjamin Knapp Apr 2019

Opioid Use Treatment Via Telemedicine: Treatment Options For Rural Maine, Benjamin Knapp

Thinking Matters Symposium Archive

The ongoing opioid crisis has overwhelmed the traditional opioid use disorder (OUD) treatment resources across America. The treatment resources in rural communities have been especially hard hit as geographic and financial barriers limit service capacity. Telemedicine, or medicine delivered via remote means, has been proposed as a potential solution to the lack of conventional opioid treatment resources in rural Maine. Current legalities in the US prohibit telemedicine being used to prescribe opioid agonist drugs, and insurance reimbursement for telemedicine remains a major barrier. This qualitative content analysis looks at the existing research on telemedicine's treatment efficacy for use with OUD …