Table 2 Taxonomy of concepts describing financial barriers to treatment for opioid use disorder
Theme | Subtheme | Codes | Definition |
|---|---|---|---|
OUD Treatment-Related Financial Burden The direct and Indirect costs associated with the treatment of OUD | Direct The cost incurred because of treatment for OUD | Treatment Initiation | The ability or inability to initiate treatment due to cost |
Treatment Retention | The ability or inability to remain in treatment due to cost | ||
Financial Support from Outside Sources | The Ability to remain in treatment is due to financial support from other sources | ||
Indirect Cost Expenses faced when seeking treatment that is not directly tied to the medical bill | Transportation | Difficulty affording or maintaining transportation to receive treatment | |
Housing | Difficulty maintaining housing and the ability to afford treatment | ||
Lost Wages | Absence from work or lost hours to obtain treatment | ||
Administrative Burden | Time spent coordinating care or waiting for care | ||
Psychosocial Effects Associated With The Cost of OUD Treatment The mental, emotional, social, and spiritual effects of disease | Coping Conscious and unconscious strategies used to overcome problems and difficulties associated with the cost of OUD treatment | Early Discontinuation in Treatment | Discontinuing treatment due to the cost |
Criminality | Behavior that is contrary to or forbidden by criminal law | ||
Drug Diversion | Illegal distribution of prescription drugs and their use for purposes not intended by the prescriber | ||
Non-Pharmacological Treatment | Non- Pharmacological methods used to maintain sobriety | ||
Affect The emotional reaction due to the cost of treatment | Frustration, Anger, or Outrage | The feeling of frustration, anger, or fear because of the inability to afford treatment | |
Worry, Anxiety, or Fear | The feeling of panic and stress because of the inability to afford treatment | ||
Support The emotional or social support or lack of emotional support that contributes to treatment retention or discontinuation | Family Support | Family support or lack of support | |
Workplace Support | Workplace support or lack of support for treatment | ||
Support from Others | Support or lack of support from others |