Late Breaking Original Research
Monday, November 13, 2023
01:00 PM–02:30 PM
Abstract
Introduction: Despite 2.5 million adults in the US with opioid use disorder (OUD) in 2021, limited treatment services are available in inpatient settings.
The University of Illinois Hospital implemented a pharmacist-driven, interprofessional OUD medication-assisted recovery (MAR) inpatient consult team to increase access and support providers in delivering comprehensive OUD care.
Research Question or Hypothesis: What are internal medicine (IM) and emergency medicine (EM) provider perceptions of the OUD MAR consult service?
Study Design: Single-center, descriptive cohort study
Methods: EM/IM providers (residents, attendings, and nurse practitioners) were invited via hospital listservs to complete an anonymous 14-item Qualtrics™ survey assessing consult service utilization and perceptions with 5-point Likert-type and free response questions. The primary outcome was EM/IM provider service satisfaction. Secondary outcomes included agreement with pharmacist-driven OUD MAR services, barriers and facilitators to consultation, and perceived patient outcomes. Descriptive statistics were used to analyze data utilizing IBM SPSS Statistics v26 (Armonk, NY).
Results: Forty-eight EM and 19 IM providers responded. Twenty-eight (58%) EM respondents utilized the OUD MAR consult service compared to all 19 IM respondents. All 28 EM respondents who consulted the service reported being satisfied or very satisfied with service recommendations, compared to 15 (79%) IM respondents. All EM respondents and 73% of IM respondents agreed or strongly agreed that pharmacists driving OUD MAR consult services is appropriate. Key barriers included comfort providing OUD care independently, and lack of patient interest. Most (90%) EM respondents who had not utilized the service were unaware it existed. Key facilitators included improved outpatient service coordination and greater OUD MAR expertise. Nearly 95% of IM respondents agreed or strongly agreed that the service’s recommendations improved their patients’ OUD care.
Conclusion: Despite satisfaction with OUD MAR consult services among EM/IM providers, key barriers to service utilization were identified including lack of awareness, indicating a need for continued outreach and prospective patient identification.
Presenting Author
Alexander Infante PharmDUniversity of Illinois at Chicago College of Pharmacy
Authors
Eden Keller PharmD
University of Illinois at Chicago College of Pharmacy
Tiffany Lin PharmD
Veterans Affairs New York Harbor Health System, Department of Pharmacy
Jennie Jarrett PharmD, BCPS, MMedEd, FCCP
University of Illinois at Chicago
Renee Petzel Gimbar PharmD, FAACT
University of Illinois at Chicago College of Pharmacy
Abigail Elmes PharmD, BCPS, MHPE
University of Illinois at Chicago College of Pharmacy