ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 126
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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Opiate use disorder: Best treated in the primary care setting
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Dr Michelle Cangiano, Dr Alicia Jacobs
Larner College of Medicine at the University of Vermont
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The opiate crisis has been hard on rural America. This population of patients often faces stigma and
barriers to care. Providing medication-assisted treatment for opiate use disorder (OUD) in the patientcentred medical home (PCMH) allows for comprehensive primary care management. In addition, the
PCMH is the appropriate location to create access to OUD treatment, especially if care does not exist
elsewhere. Population health models (aka clinical care pathways, hub and spoke, collaborative care)
make managing this population achievable in primary care. The presentation will consist of a case of a
patient on medication for opiate use disorder (MOUD) whose limb-threatening ischaemia was detected
early while being seen in the PCMH and treated with revascularisation prior to any morbid outcomes.
This care would not have been available in a treatment centre or specialty clinic. Universal access to
MOUD in the primary care setting leads to decreased barriers to comprehensive healthcare.
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