Miron, Oren and Barda, Noam and Balicer, Ran and Kor, Ariel and Lev-Ran, Shaul (2022) Association of opioid use disorder with healthcare utilization and cost in a public health system. Addiction, 117, (11), pp. 2880-2886. doi: 10.1111/add.15963.
External website: https://onlinelibrary.wiley.com/doi/10.1111/add.15...
AIM: To quantify the healthcare costs associated with opioid use disorder among members in a public healthcare system and compare them with healthcare costs in the general population.
DESIGN: Retrospective cohort study. Inpatient and outpatient care settings of Israel's largest public healthcare provider (that covers 4.7 million members). Participants included 1173 members who had a diagnosis of opioid use disorder in the years between 2013 and 2018. Each patient was matched with 10 controls based on age and sex.
MEASUREMENTS: The main outcome was monthly healthcare costs.
FINDINGS: The mean monthly healthcare cost of members with opioid use disorder was $1102 compared with $211 among controls. After excluding members with heroin related diagnoses before the index date (to focus on prescription opioids), this healthcare cost ratio did not substantially change. Members with opioid use disorder under the age of 65 years had a cost difference of 6.1-fold, whereas those 65 years and older experienced cost difference of 3.4-fold, compared with controls. The category with the highest cost for members with opioid use disorder was inpatient services, which was 8.7-fold greater than among controls.
CONCLUSIONS: Healthcare costs among individuals with opioid use disorder in Israel's public health system are substantially higher than among controls, at least partially attributable to prescription opioid use disorder. Differences are greater among individuals under 65 years.
HJ Treatment or recovery method > Substance disorder treatment method > Substance replacement method (substitution) > Opioid agonist treatment (methadone maintenance / buprenorphine)
J Health care, prevention, harm reduction and treatment > Treatment and maintenance > Treatment factors
J Health care, prevention, harm reduction and treatment > Health care delivery
J Health care, prevention, harm reduction and treatment > Health care economics
L Social psychology and related concepts > Life circumstances > Financial (money) difficulties / debt
VA Geographic area > Asia
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