整合MOUD和初级保健:多中心学习协作成果
Christine Hancock1, Ashley Johnson2, Mandy Sladky3
1Sea Mar Community Health Centers, Bellingham, WA.
在初级保健中,针对阿片类药物使用障碍 (OUD) 的药物治疗通过多学科学习协作显著改善. 关键的推动因素包括培训员的兴趣和领导力支持,而耻辱仍然是一个障碍.
科学领域:
- 公共卫生 公共卫生
- 医疗保健管理的管理
- 成 药物 药物 药物 药物
背景情况:
- 阿片类药物使用障碍 (OUD) 是一个关键的公共卫生危机,需要扩大治疗选择.
- 初级保健机构是增加对阿片类药物使用障碍 (MOUD) 药物治疗机会的有希望的地方.
- 学习协作 (LC) 是一种基于证据的策略,以促进MOUD在初级保健中的实施.
研究的目的:
- 在服务不足的初级保健诊所开发和评估一个多学科的MOUD学习协作.
- 评估协作对诊所实施或改进MOUD计划的能力的影响.
- 识别阻碍和促进MOUD计划在初级保健中的成功的障碍.
主要方法:
- 混合方法方法被用于研究六个服务不足的初级保健诊所的合作.
- 诊所接受了培训和支持,以加强他们的MOUD计划.
- 合作前和后的评估衡量了认知的能力和质量改进目标.
主要成果:
- 大约80%的参与诊所实现了质量改善目标.
- 在实施/改进MOUD程序的感知能力在合作后显著增加 (2.80至6.33/10,P=.02).
- 围绕OUD的耻辱是一个持续的障碍,而培训员的兴趣,领导力支持和专注的MOUD团队是关键的推动因素.
结论:
- 学习协作有效地加强了MOUD计划的实施和初级保健的改进.
- 通过额外的员工/临床医生培训来解决耻辱是MOUD成功的关键.
- 持续的组织支持对于MOUD计划的长期有效性至关重要.
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