Shobhit Kumar, Rakesh Sarwal
Closing human resources gap in health: Moving beyond production to proactive recruitments
Journal of family medicine and primary care
opioid use disorder oud among pregnant individuals us rise carries significant health risks left untreated despite effectiveness medication opioid use disorder moud rates treatment utilization remain low access varies state study seeks expand known utilization moud estimating annual percentages moud use among treatment admissions among pregnant individuals across 50 states us regions study also examines pregnant people experiencing oud referred substance use treatment programs better understand referral sources effective linking moud study estimated moud utilization among pregnant admissions 9year period identifying trends use treatment using national state level data treatment episode datasetadmissions tedsa sample pregnant females admitted treatment opioids primary substance use problem 50 states 2010 2018 study examined referral pathways pregnant individuals enter treatment identifying variations linked moud binary logistic regression conducted estimate significant sociodemographic characteristics referral sources associated moud receipt treatment among admissions reported pregnancy oud across nine years n 84492 average percentage moud use 508 average annual moud use highest northeast region 6342 lowest south 3401 maine highest moud use average 8199 across years pregnant individuals selfreferred treatment comprised largest percentage admissions leading moud use 621 referred criminal justice system legal entity resulted lowest moud use across years 236 binary logistic regression results found race education employment status referral source significantly associated moud receipt 2018 specifically individuals higher education unemployed referred treatment another substance use healthcare provider criminal legal system significantly less likely receive moud study estimated average approximately half admissions pregnant oud received moud part treatment plans identified regional state trends investigated understand factors contributing geographical variations moud access also notable findings pertaining low moud receipt among referred criminal legal entities warranting investigation findings lead better understanding referral sources treatment act effective pathways moud best practices link pregnant individuals evidencebased care