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有效,但未被充分利用:在美国的现实实践环境中实施应急管理的经验教训
Sara J Becker1, Kira DiClemente-Bosco1, Carla J Rash2
1Center for Dissemination and Implementation Science, Northwestern Feinberg School of Medicine, 633 N St Clair Street, Chicago, IL 60611, United States of America.
Preventive medicine
|June 29, 2023
概括
应急管理 (CM) 对阿片类药物使用障碍有效,但未得到充分利用. 实施科学提供了教训,以弥合这一研究与实践之间的差距,专注于多层次解决方案和持续支持更好的患者护理.
科学领域:
- 行为健康 行为健康
- 实施科学 实施科学
- 药物成治疗 药物成治疗
背景情况:
- 应急管理 (CM) 是对阿片类药物使用障碍 (OUD) 的高度有效的辅助治疗.
- 尽管已被证明是有效的,但在现实世界阿片类药物治疗计划中,CM显著未得到充分利用.
- 这种差异凸显了行为健康的研究与实践之间的关键差距.
研究的目的:
- 分享从OUD治疗环境中实施和维持CM中学到的关键经验教训.
- 为研究人员,临床医生和政策制定者提供实际指导.
- 解决障碍并促进基于证据的CM的更广泛采用.
主要方法:
- 这项研究借鉴了作者团队在阿片类药物治疗计划中实施CM的经验.
- 教训来自于在现实世界实施过程中遇到的实际挑战和成功.
- 基于实践经验的定性方法被用于确定关键的实施因素.
主要成果:
- 多个顾问和组织层面的障碍需要多层面的解决方案来实现CM.
- 一次性培训是不够的;持续的支持对于干预忠实性和患者利益至关重要.
- 评估组织能力,规划员工流动以及制定应急计划至关重要.
- 专注于基于证据的CM,而不仅仅是激励措施,对于成功实施至关重要.
结论:
- 解决研究与实践之间的差距需要理解和克服实施障碍.
- 持续的支持,组织准备评估和适应性规划对于CM成功至关重要.
- 有效实施基于证据的CM可以提高OUD患者的护理质量.
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