Assessing the “Reach” of a Fire-Based Mobile Integrated Health Buprenorphine Induction Program Through an Implementation Science Lens
A fire department EMS-based MIH buprenorphine MOUD program is able to reach patients experiencing OUD. External partners make up a sizable proportion of patient referrals to increase a program's reach. Challenges included obtaining real time assessment from designated MIH clinicians utilizing dispatch protocols, a high proportion of ineligible patients based on buprenorphine guidelines, and a relatively high proportion of patients declining induction. Results may assist other fire departments in assessing potential estimates of patient encounters and avenues for patient contact for similar programing.
Authors
- Daniel Mueller (ORCID: https://orcid.org/0000-0003-4978-4400)
- Nicole Fumo
- Dan Pojar
- Benjamin W. Weston (ORCID: https://orcid.org/0000-0002-8352-6037)
- Grant Thomas Comstock (ORCID: https://orcid.org/0000-0002-4730-4314)
- Jennifer Hernandez-Meier (ORCID: https://orcid.org/0000-0003-1709-3576)
- Thomas Engel (ORCID: https://orcid.org/0000-0002-0493-0876)
- Hannah Kovacevich (ORCID: https://orcid.org/0000-0002-5782-5930)
- Jason Schaak
Institutions
- Medical College of Wisconsin (US)
- Aurora West Allis Medical Center (US)
- Risk Engineering (Bulgaria) (BG)
- Milwaukee County Medical Complex (US)
Publication Details
- Journal
- Prehospital Emergency Care
- Published
- 2025-01-23
- DOI
- https://doi.org/10.1080/10903127.2025.2457605
- Citations
- 1
- Primary Topic
- Opioid Use Disorder Treatment
- Type
- article
- Field-Weighted Citation Impact
- 1.88