Rural-urban differences in out-of-network treatment initiation and engagement rates for substance use disorders.
Ontology highlight
ABSTRACT: Objective
To examine rural-urban disparities in substance use disorder treatment access and continuation.Data sources and study setting
We analyzed a 2016-2018 U.S. national secondary dataset of commercial insurance claims.Study design
This cross-sectional study examined individuals with a new episode of opioid, alcohol, or other drug use disorders. Treatment initiation and engagement rates, and rates of using out-of-network providers for these services, were compared between rural and urban patients.Data collection
We included individuals 18-64 years old with continuous employer-sponsored insurance.Principal findings
Patients in rural settings experienced lower treatment initiation rates for alcohol (36.6% vs. 38.0%, p < 0.001), opioid (41.2% vs. 44.2%, p < 0.001), and other drug (37.7% vs. 40.1%, p < 0.001) use disorders, relative to those in urban areas. Similarly, rural patients had lower treatment engagement rates for alcohol (15.1% vs. 17.3%, p < 0.001), opioid (21.0% vs. 22.6%, p < 0.001), and other drug (15.5% vs. 17.5%, p < 0.001) use disorders. Rural patients had higher out-of-network rates for treatment initiation for other drug use disorders (20.4% vs. 17.2%, p < 0.001), and for treatment engagement for alcohol (27.6% vs. 25.2%, p = 0.006) and other drug (36.1% vs. 31.1%, p < 0.001) use disorders.Conclusions
These findings indicate that individuals with substance use disorders in rural areas have lower rates of initial and ongoing treatment, and are more likely to seek care out-of-network.
SUBMITTER: Raver E
PROVIDER: S-EPMC11366955 | biostudies-literature | 2024 Oct
REPOSITORIES: biostudies-literature
Publications
Rural-urban differences in out-of-network treatment initiation and engagement rates for substance use disorders.
Raver Eli E Retchin Sheldon M SM Li Yiting Y Carlo Andrew D AD Xu Wendy Y WY
Health services research 20240308 5
<h4>Objective</h4>To examine rural-urban disparities in substance use disorder treatment access and continuation.<h4>Data sources and study setting</h4>We analyzed a 2016-2018 U.S. national secondary dataset of commercial insurance claims.<h4>Study design</h4>This cross-sectional study examined individuals with a new episode of opioid, alcohol, or other drug use disorders. Treatment initiation and engagement rates, and rates of using out-of-network providers for these services, were compared bet ...[more]
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2015-10-26 | GSE53522 | GEO
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