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在住院期间对物质使用的反应:对当前和理想的政策和实践的调查研究
Zina Huxley-Reicher1, Lisa B Puglisi2,3,4, Jeanette M Tetrault2,3
1Yale Primary Care Residency Program, Yale New Haven Hospital, New Haven, Connecticut, USA.
在急性住院期间,医院对非处方药物使用的政策往往缺乏,并可能对患者的结果产生负面影响. 大多数接受调查的医院没有以患者为中心的住院药物使用政策.
科学领域:
- 医学研究 医学研究
- 公共卫生政策 公共卫生政策
- 药物中毒药物 药物中毒药物
背景情况:
- 住院药物使用在急性住院期间是一个问题.
- 当前的医院政策可能会使人受到耻辱,并导致患者的不良结果.
- 有限的数据存在于美国医院的政策,解决住院患者的物质使用.
研究的目的:
- 调查当前的医院政策和临床医生确定的在住院期间使用非处方药物的理想政策.
- 评估美国医院治疗住院患者物质使用问题的政策的普遍性.
主要方法:
- 对美国医院的临床医生进行横截面调查,这些医院拥有美国医学研究生教育认证委员会 (ACGME) 认可的成医学奖学金.
- 收集有关当前实践,政策和理想政策组成部分的数据.
- 分析了来自55个机构的77个回复.
主要成果:
- 只有21.8%的受访机构确定了针对住院药物使用的政策.
- 目前医院对住院药物使用的反应差异很大.
- 大多数目前的反应与临床医生理想的政策建议不一致.
结论:
- 在住院期间使用非处方药物可能很常见.
- 大多数美国医院可能缺乏以患者为中心的政策来解决住院病人吸毒问题.
- 需要改善以患者为中心的医院政策,以改善急性护理期间的物质使用.
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