Table 3:
Medium Telemedicine vs. Low | High Telemedicine vs. Low | |||
---|---|---|---|---|
Continuous Outcomes | Change in Outcome in Post-Pandemic Period (95% CI) |
p-value | Change in Outcome in Post-Pandemic Period (95% CI) |
p-value |
OUD Visit Volume | ||||
Total | −0.13 (−0.42 – 0.16) | 0.38 | −0.01 (−0.28 – 0.26) | 0.94 |
In-person | −0.55 (−0.85 – −0.27) | 0.002 | −1.51 (−1.79 – −1.24) | <.001 |
Telemedicine | 0.43 (0.37 – 0.49) | <.001 | 1.51 (1.37 – 1.65) | <.001 |
MOUD Days-Supply | ||||
Among those ≥ 1 MOUD fill | 0.29 (−1.09 – 1.68) | 0.68 | −0.27 (−1.84 – 1.30) | 0.73 |
Binary Outcomes | Odd Ratio (95% CI) |
P-value | Odds Ratio (95% CI) |
P-value |
MOUD Initiation and Supply | ||||
≥ 1 MOUD within 14 days | 1.01 (0.87 – 1.16) | 0.93 | 1.00 (0.84 – 1.19) | 0.96 |
≥ 1 MOUD within 90 days | 1.00 (0.84 – 1.18) | 0.97 | 0.91 (0.74 – 1.12) | 0.38 |
≥ 1 MOUD fills within 30–90 days | 0.79 (0.57 – 1.10) | 0.16 | 1.09 (0.74 – 1.60) | 0.67 |
Healthcare Utilization within 90 Days | ||||
Overdose | 1.12 (0.66 – 1.91) | 0.68 | 1.14 (0.72 – 1.83) | 0.58 |
Detoxification/Rehabilitation | 0.92 (0.45 – 1.88) | 0.82 | 0.84 (0.53 – 1.34) | 0.46 |
Injection-Related Infection | 0.91 (0.71 – 1.16) | 0.44 | 0.81 (0.58 – 1.11) | 0.19 |
Any OUD related Event | 1.01 (0.72 – 1.36) | 0.95 | 0.95 (0.73 – 1.24) | 0.69 |
OUD: Opioid Use Disorder, MOUD: Medication for Opioid Use Disorder
Continuous outcomes were modeled with linear regressions and binary outcomes were modeled with logistic regressions. Adjusted values in the table are the coefficient on the interaction term, representing the difference in outcomes between low vs. medium and low vs. high telemedicine groups during the pandemic. Each statistical model adjusted for age, documented sex, rurality, insurance type, median household income in county, racial demographics in county, clinician specialty, and state. We clustered standard errors by state.