Integrating Social Determinants of Health and Laboratory Data: A Pilot Study To Evaluate Co-Use of Opioids and Benzodiazepines
| العنوان: | Integrating Social Determinants of Health and Laboratory Data: A Pilot Study To Evaluate Co-Use of Opioids and Benzodiazepines |
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| المؤلفون: | Jamie Brandon, Chris Powell, Keith Lavoie, Jill S. Warrington, Nick Lovejoy |
| المصدر: | Academic Pathology Academic Pathology, Vol 6 (2019) |
| بيانات النشر: | SAGE Publications, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | medicine.medical_specialty, business.industry, substance use disorder, opioids, Regular Article, medicine.disease, Pathology and Forensic Medicine, Clinical Lab 2.0, Substance abuse, 03 medical and health sciences, 0302 clinical medicine, Opioid, social determinants of health, medicine, lcsh:Pathology, 030212 general & internal medicine, Social determinants of health, Augment, Clinical care, business, Psychiatry, benzodiazepines, 030217 neurology & neurosurgery, medicine.drug, lcsh:RB1-214 |
| الوصف: | As the opioid crisis continues to have devastating consequences for our communities, families, and patients, innovative approaches are necessary to augment clinical care and the management of patients with opioid use disorders. As stewards of health analytic data, laboratories are uniquely poised to approach the opioid crisis differently. With this pilot study, we aimed to bridge laboratory data with social determinants of health data, which are known to influence morbidity and mortality of patients with substance use disorders. For the purpose of this pilot study, we focused on the co-use of opioids and benzodiazepines, which can lead to an increased risk of fatal opioid-related overdoses and increased utilization of acute care. Using the laboratory finding of the copresence of benzodiazepines and opioids as the primary outcome measure, we examined social determinants of health attributes that predict co-use. We found that the provider practice that ordered the laboratory result is the primary predictor of co-use. Increasing age was also predictive of co-use. Further, co-use is highly prevalent in specific geographic areas or “hotspots.” The prominent geographic distribution of co-use suggests that targeted educational initiatives may benefit the communities in which co-use is prevalent. This study exemplifies the Clinical Lab 2.0 approach by leveraging laboratory data to gain insights into the overall health of the patient. |
| اللغة: | English |
| تدمد: | 2374-2895 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b6c8e452a3c969a14efc3a95ce394cdc http://europepmc.org/articles/PMC6823980 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....b6c8e452a3c969a14efc3a95ce394cdc |
| قاعدة البيانات: | OpenAIRE |
Full Text via ClinicalKey | تدمد: | 23742895 |
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