title: A Research Agenda to Advance the Coordination of Care for General Medical and Substance Use Disorders.
abstract: The separation of addiction care from the general medical care system has a negative impact on patients' receipt of high-quality medical care. Clinical and policy-level strategies to improve the coordination of addiction care and general medical care include identifying and engaging patients with unhealthy substance use in general medical settings, providing effective chronic disease management of substance use disorders in primary care, including patient and family perspectives in care coordination, and implementing pragmatic models to pay for the coordination of addiction and general medical care. This Open Forum discusses practice and research recommendations to advance the coordination of general medical and addiction care. The discussion is based on the proceedings of a national meeting of experts in 2014.
authors.affiliation: Dr. Quinn is with the Institute for Behavioral Health, Heller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts (e-mail: amity@brandeis.edu ). When this work was conducted, Dr. Rubinsky was with the Health Services Research and Development Center of Innovation, Veterans Affairs (VA) Puget Sound Health Care System, Seattle. Dr. Rubinsky is currently with the Kidney Health Research Collaborative, University of California, San Francisco, and with San Francisco VA Medical Center, San Francisco. Dr. Fernandez is with the Center for Alcohol and Addiction Studies, Brown University, Providence, Rhode Island. Dr. Hahm is with the School of Social Work, Boston University, Boston. Dr. Samet is with the School of Medicine and the School of Public Health, Boston University, and with Boston Medical Center, Boston.
authors.forename: Amity E
authors.initials: AE
authors.lastname: Quinn
authors.affiliation: Dr. Quinn is with the Institute for Behavioral Health, Heller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts (e-mail: amity@brandeis.edu ). When this work was conducted, Dr. Rubinsky was with the Health Services Research and Development Center of Innovation, Veterans Affairs (VA) Puget Sound Health Care System, Seattle. Dr. Rubinsky is currently with the Kidney Health Research Collaborative, University of California, San Francisco, and with San Francisco VA Medical Center, San Francisco. Dr. Fernandez is with the Center for Alcohol and Addiction Studies, Brown University, Providence, Rhode Island. Dr. Hahm is with the School of Social Work, Boston University, Boston. Dr. Samet is with the School of Medicine and the School of Public Health, Boston University, and with Boston Medical Center, Boston.
authors.forename: Anna D
authors.initials: AD
authors.lastname: Rubinsky
authors.affiliation: Dr. Quinn is with the Institute for Behavioral Health, Heller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts (e-mail: amity@brandeis.edu ). When this work was conducted, Dr. Rubinsky was with the Health Services Research and Development Center of Innovation, Veterans Affairs (VA) Puget Sound Health Care System, Seattle. Dr. Rubinsky is currently with the Kidney Health Research Collaborative, University of California, San Francisco, and with San Francisco VA Medical Center, San Francisco. Dr. Fernandez is with the Center for Alcohol and Addiction Studies, Brown University, Providence, Rhode Island. Dr. Hahm is with the School of Social Work, Boston University, Boston. Dr. Samet is with the School of Medicine and the School of Public Health, Boston University, and with Boston Medical Center, Boston.
authors.forename: Anne C
authors.initials: AC
authors.lastname: Fernandez
authors.affiliation: Dr. Quinn is with the Institute for Behavioral Health, Heller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts (e-mail: amity@brandeis.edu ). When this work was conducted, Dr. Rubinsky was with the Health Services Research and Development Center of Innovation, Veterans Affairs (VA) Puget Sound Health Care System, Seattle. Dr. Rubinsky is currently with the Kidney Health Research Collaborative, University of California, San Francisco, and with San Francisco VA Medical Center, San Francisco. Dr. Fernandez is with the Center for Alcohol and Addiction Studies, Brown University, Providence, Rhode Island. Dr. Hahm is with the School of Social Work, Boston University, Boston. Dr. Samet is with the School of Medicine and the School of Public Health, Boston University, and with Boston Medical Center, Boston.
authors.forename: Hyeouk Chris
authors.initials: HC
authors.lastname: Hahm
authors.affiliation: Dr. Quinn is with the Institute for Behavioral Health, Heller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts (e-mail: amity@brandeis.edu ). When this work was conducted, Dr. Rubinsky was with the Health Services Research and Development Center of Innovation, Veterans Affairs (VA) Puget Sound Health Care System, Seattle. Dr. Rubinsky is currently with the Kidney Health Research Collaborative, University of California, San Francisco, and with San Francisco VA Medical Center, San Francisco. Dr. Fernandez is with the Center for Alcohol and Addiction Studies, Brown University, Providence, Rhode Island. Dr. Hahm is with the School of Social Work, Boston University, Boston. Dr. Samet is with the School of Medicine and the School of Public Health, Boston University, and with Boston Medical Center, Boston.
authors.forename: Jeffrey H
authors.initials: JH
authors.lastname: Samet
mesh_terms: D002908:Chronic Disease / Q000628:therapy*; D006801:Humans; D010346:Patient Care Management / Q000379:methods / Q000458:organization & administration*; D011320:Primary Health Care / Q000379:methods / Q000458:organization & administration*; D019966:Substance-Related Disorders / Q000628:therapy*
keywords: Alternative payment models; Care coordination; Chronic disease management; Identification and engagement; Patient-centered care; Substance use disorders