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  • Author
    Eric An
  • PI

    Arpan Patel, MD PhD

  • Co-Author

    Yun Wang, MD

  • Title

    Current practices and barriers to alcohol use disorder treatment for hospitalized adults with alcohol-associated liver disease

  • Program

    Internal Medicine Chief's Fellowship

  • Other Program (if not listed above)

  • Abstract

    Alcohol-associated liver disease (ALD) is a morbid, expensive, and increasingly common condition. However, evidence-based treatments to curb chronic alcohol misuse are underutilized, especially in patients hospitalized for ALD. Our study aims to obtain a better understanding of provider and system-related practices and barriers at the UCLA Ronald Reagan Medical Center in delivering alcohol use disorder (AUD) treatment to hospitalized ALD patients. For this qualitative study, semistructured interviews were conducted with the UCLA liver transplant multidisciplinary team, including social workers, transplant coordinators, advanced practice providers, nurses, hepatologists, hepatobiliary transplant surgeons, and psychiatrists. Participants were asked about their current process, perceived strengths and barriers in the current practice, and perceptions of providing AUD treatment. We identified five themes that represent current practice patterns and barriers for integrating AUD treatment in inpatient settings: (1) treatment for AUD is limited in the inpatient setting; (2) there is limited support from addiction psychiatry services; (3) there is poor knowledge of best practices in addressing AUD; (4) there is poor support for addiction follow up; (5) there is a lack of shared understanding of what interventions need to be implemented based on patient factors. These findings may help to identify solutions to implementing AUD interventions for patients admitted for ALD.

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