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Ontario Community-Based Clinicians Now Have Access to Digital Medication Information Through Their Electronic Medical Record

Ontario Community-Based Clinicians Now Have Access to Digital Medication Information Through Their Electronic Medical Record
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Province Of Ontario , Robert Fox , Ontario Community , Ministry Of Health , Ontario Medical Association , Ontario Health , Digital Health Drug Repository , Community Based Clinicians Now Have Access , Ontario Drug Benefit , Narcotics Monitoring , Narcotics Monitoring System , Medication Management , Ontario Medical ,

Clinical outcomes and health care costs among people entering a safer opioid supply program in Ontario

Background: London InterCommunity Health Centre (LIHC) launched a safer opioid supply (SOS) program in 2016, where clients are prescribed pharmaceutical opioids and provided with comprehensive health and social supports. We sought to evaluate the impact of this program on health services utilization and health care costs.

Methods: We conducted an interrupted time series analysis of London, Ontario, residents who received a diagnosis of opioid use disorder (OUD) and who entered the SOS program between January 2016 and March 2019, and a comparison group of individuals matched on demographic and clinical characteristics who were not exposed to the program. Primary outcomes were emergency department (ED) visits, hospital admissions, admissions for infections and health care costs. We used autoregressive integrated moving average (ARIMA) models to evaluate the impact of SOS initiation and compared outcome rates in the year before and after cohort entry.

Results: In the time se ....

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