So long as metrics for OUD (itself a fuzzy, poorly defined category) depend on structural factors that are themselves unstable (using as prescribed when the docs change their practices, getting in trouble with the law when the laws and enforcement are variable), it’s all a mess.
I am working on content about the DSM 5 OUD dx. Mild OUD isn't seen as addiction, according to experts. But, do algorithms read them that way? I've never seen mild, moderate, or severe put in a chart of a pain pt. If Mild OUD isn't addiction then they need another word, or no word at all. Does Bamboo Health read Mild OUD as not addiction? How about the DEA? State Med Boards? Any of the payer or other risk score algorithms? Also, what's the standard of care for Mild OUD? Kolodny says Suboxone. Why? If it's not addiction and someone is stable, why Suboxone? All of this has greatly harmed pain pts.