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Brief ReportBrief Report

Designing and Evaluating COVID-19 Protocols for an Office-Based Opioid Treatment Program in an Urban Underserved Setting

David T. O’Gurek
The Journal of the American Board of Family Medicine February 2021, 34 (Supplement) S136-S140; DOI: https://doi.org/10.3122/jabfm.2021.S1.200207
David T. O’Gurek
From the Department of Family & Community Medicine, Lewis Katz School of Medicine at Temple University, Philadelphia, PA.
MD, FAAFP
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    Figure 1.

    Pre-visit phone triage process for COVID protocol for OBOT program. Abbreviations: OBOT, Office Based Opioid Treatment; CDC, Centers for Disease Control; RN, Registered Nurse; ID, Identification.

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    Figure 2.

    Process for patients physically presenting to OBOT program as part of COVID protocol. Abbreviations: OBOT, Office Based Opioid Treatment; MA, Medical Assistant.

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    Figure 3.

    Comparison of show rates and no-show rates for patients pre-and post-implementation of COVID protocols for Office Based Opioid Treatment (OBOT) program.

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    Table 1.

    Demographic Characteristics of Arrived and Scheduled Visits at an OBOT Program

    Arrived Patients Before protocol implementation (January 1 to March 13, 2020) n = 214 (%)Arrived Patients after protocol implementation (March 16 to April 30, 2020) n = 132 (%)P valueScheduled Patients Before protocol implementation (January 1 to March 13, 2020) n = 289 (%)Scheduled Patients after protocol implementation (March 16 to April 30, 2020) n = 141 (%)P value
    Demographic Characteristics
    Sex
     Female74 (34.6)55 (41.7).5898 (33.9)57 (40.4).57
     Male140 (65.4)77 (58.3).72191 (66.1)84 (59.6).73
    Race & Ethnicity
     Black/African American86 (40.2)60 (45.5).76112 (38.8)64 (45.4).60
     Hispanic, non-white47 (22.0)20 (15.2).3864 (22.1)22 (15.6).36
     White77 (36.0)50 (37.9).96103 (35.6)51 (36.2) .99
     Other4 (1.9)2 (1.5).978 (2.8)4 (2.8)1.0
    Insurance
     Commercial12 (5.6)10 (7.6).7816 (5.5)10 (7.1) .83
     Medicaid158 (73.8)101 (76.5).91215 (74.4)108 (76.6).97
     Medicare27 (12.6)20 (15.2).8239 (13.5)21 (14.9).94
     Self-Pay12 (5.6)1 (0.8).084 (6.6)1 (0.7).03
    Age, years*44.144.643.744.8
    • * Age in years signifies average age. OBOT, Office Based Opioid Treatment.

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The Journal of the American Board of Family  Medicine: 34 (Supplement)
The Journal of the American Board of Family Medicine
Vol. 34, Issue Supplement
February 2021
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Designing and Evaluating COVID-19 Protocols for an Office-Based Opioid Treatment Program in an Urban Underserved Setting
David T. O’Gurek
The Journal of the American Board of Family Medicine Feb 2021, 34 (Supplement) S136-S140; DOI: 10.3122/jabfm.2021.S1.200207

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Designing and Evaluating COVID-19 Protocols for an Office-Based Opioid Treatment Program in an Urban Underserved Setting
David T. O’Gurek
The Journal of the American Board of Family Medicine Feb 2021, 34 (Supplement) S136-S140; DOI: 10.3122/jabfm.2021.S1.200207
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