2022
DOI: 10.1001/jamanetworkopen.2022.41128
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Patterns in Geographic Distribution of Substance Use Disorder Treatment Facilities in the US and Accepted Forms of Payment From 2010 to 2021

Abstract: ImportanceThe drug overdose crisis is a continuing public health problem and is expected to grow substantially in older adults. Understanding the geographic accessibility to a substance use disorder (SUD) treatment facility that accepts Medicare can inform efforts to address this crisis in older adults.ObjectiveTo assess whether geographic accessibility of services was limited for older adults despite the increasing need for SUD and opioid use disorder treatments in this population.Design, Setting, and Partici… Show more

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Cited by 11 publications
(8 citation statements)
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“…This seems particularly critical given the starkly heterogeneous patterns of overdose, and harm reduction and OUD treatment resource access that exist across local US jurisdictions. 66–70…”
Section: Discussionmentioning
confidence: 99%
“…This seems particularly critical given the starkly heterogeneous patterns of overdose, and harm reduction and OUD treatment resource access that exist across local US jurisdictions. 66–70…”
Section: Discussionmentioning
confidence: 99%
“…It may be that treatment use reflects unmeasured factors other than individual characteristics, for example greater local availability of treatment facilities or some other unmeasured neighborhood characteristics. Proximity to substance use treatment, i.e., small area variations in service availability, that are not captured in NESARC-III beyond delineating residents as “urban” or “rural,” have been well characterized as factors associated with variations in treatment use in prior literature and may account for variation in use of treatment [ 48 50 ]. It is also possible that interaction effects of sex and MHRQOL-affecting comorbidities could have played a role, as women with opioid use disorder have been reported to exhibit more psychiatric comorbidities than men [ 51 ].…”
Section: Discussionmentioning
confidence: 99%
“…The MATTR dataset has been described elsewhere. 32 MATTR includes information compiled from historical versions of the Substance Abuse and Mental Health Services Administration's (SAMHSA) annual National Directory of Drug and Alcohol Abuse Treatment Programs. The national directory includes comprehensive lists of licensed substance use treatment facilities that responded in the previous year to SAMHSA's National Survey of Substance Abuse Treatment Services (N-SSATS) and agreed to be listed in the directory.…”
Section: Data Source and Samplementioning
confidence: 99%