Appointment wait-times and arrival for patients at a low-barrier access addiction clinic.

Journal of Substance Abuse Treatment
Payel J RoyAlexander Y Walley

Abstract

Same-day or next-day access to outpatient medication for addiction treatment (MAT) for both alcohol and opioid use disorders may facilitate sustained treatment with evidence-based therapies for substance use disorders (SUD). This study evaluates the association between appointment wait-times and odds of arrival to appointment for patients seeking outpatient MAT. The study sample consisted of patients who scheduled an appointment with a low-barrier access addiction clinic between August 1, 2016, and July 31, 2017. The outcome of interest was the status of the appointment as a dichotomous variable: arrive or no-show/cancel. The primary independent variable (wait-time) was the number of overnights between the date a patient scheduled a clinic appointment and the date of service, categorized as 0 days, 1 day, and 2+ days. We conducted bivariable and multivariable logistic regressions to calculate unadjusted and adjusted odds ratios for arrival. Multivariable analyses were adjusted for gender, age, distance of residence from the clinic, and insurance type. Our analysis included 657 patients, of whom 410 (62%) arrived to their first appointment. Among the 657 patients, 47% (308) were scheduled the same day (0 days) and 82% (252) of t...Continue Reading

Citations

Mar 28, 2021·Journal of Substance Abuse Treatment·Linda WangJudy L Griffin
Jul 3, 2021·Substance Abuse : Research and Treatment·Milena Stanojlović, Larry Davidson
Nov 5, 2021·Journal of Addiction Medicine·Sarah Kattakuzhy, Elana Rosenthal

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