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- W4320032581 abstract "Abstract Background and aim While daily witnessed opioid agonist treatment (OAT) ingestion is common in British Columbia (BC), Canada, and elsewhere, sparse evidence supports this resource‐intensive practice. Many settings across North America relaxed restrictions for take‐home dosing during the COVID‐19 pandemic and have reported consistent or improved patient outcomes. This study measured excess expenditures attributed to daily witnessed pharmacy dispensing compared with weekly or biweekly dispensation schedules. Design, setting and participants This study was a population‐level retrospective analysis. We included all methadone, buprenorphine/naloxone and slow‐release oral morphine dispensations in BC from 1 January 2014 to 30 December 2020. A total of 24 357 107 OAT dispensations among 51 195 unique individuals with 122 793 person‐years of follow‐up were included during the study period. Measurements Total expenditures for each person‐week of OAT with an estimated expenditure under two scenarios are as follows: (1) a weekly dispensation scenario and (2) a biweekly dispensation scenario. Findings We estimated excess expenditures attributable to current dispensing practices of between $38 million (2014) and $47.4 million (2018) compared with a hypothetical weekly dispensing schedule, and $43.9 million (2014) to $54.9 million (2018) compared with biweekly dispensing. The majority of these expenditures (58–64%) were attributed to pharmacy dispensing fees ($23 million in 2014 to $30 million in 2018 compared with weekly dispensing; $26.6 million in 2014 to $34.7 million in 2018 compared with biweekly dispensing). Conclusion Daily witnessed opioid agonist treatment ingestion results in more than $30 million in excess expenditures annually in the province of British Columbia, Canada compared with the costs of weekly or biweekly dispensation schedules." @default.
- W4320032581 created "2023-02-12" @default.
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- W4320032581 date "2023-02-23" @default.
- W4320032581 modified "2023-09-26" @default.
- W4320032581 title "Incremental expenditures attributable to daily dispensation and witnessed ingestion for opioid agonist treatment in British Columbia: 2014–20" @default.
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- W4320032581 doi "https://doi.org/10.1111/add.16160" @default.
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