Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.

A Primary Care Response to COVID-19 for Patients with an Opioid Use Disorder

Wilson C. G., Ramage M., Fagan E. B.

Release Date:

Case Study

Organizational Change/ Development
Healthcare Access and Quality
Tools Included
Outside U.S.

Mitigation and Prevention

This article summarizes COVID-19 harm reduction approaches taken by a family medicine/OBGYN residency program serving rural, western North Carolina for patients with an opioid use disorder. To meet patient needs, low acuity patients were offered telehealth options and digital prescriptions for buprenorphine/naloxone. For higher acuity patients, in=person visits were maintained and the risk/benefits were weighed on a continuous basis.

Resource Details

Outcomes of Interest

Reduction of Health Disparities

Priority Population(s)

People With Substance Use Disorders

Setting(s) of Implementation


Geographic Area of Implementation


Implementation Period