非营利性医院优先考虑和实施物质使用计划的趋势:2015-2021年
Ji Eun Chang1, Cory E Cronin, José A Pagán
1From the Department of Public Health Policy and Management, School of Global Public Health, New York University, New York, NY (JEC, JAP, ZL); College of Health Sciences and Professions, Ohio University, Athens, OH (CC); Heritage College of Osteopathic Medicine, Ohio University, Athens, OH (JS, BF); and Ohio University Appalachian Institute to Advance Health Equity Science (BF, CEC).
非营利性医院增加了对物质使用障碍 (SUD) 计划的实施,但在2015-2021年期间,SUD作为社区需求的优先级下降,这表明错过了患者护理的机会.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 成 药物 药物 药物 药物
背景情况:
- 住院是解决物质使用障碍 (SUD) 的关键时刻.
- 长期以来,非营利性医院对SUD服务的优先级和实施情况尚不清楚.
- 了解这些趋势对于改善社区健康和患者结果至关重要.
研究的目的:
- 检查非营利性医院优先考虑SUD作为社区需求的趋势.
- 评估2015年至2021年非营利性医院中SUD计划实施的趋势.
主要方法:
- 对2015-2021年医院社区福利报告的分析 (两个波:2015-2018年和2019-2021年).
- 统计测试 (t 或 χ2) 用于在不同波段中比较优先级和实施.
- 多层次物流回归用于识别与SUD程序优先级和实施相关的因素.
主要成果:
- 与早期 (2015-2018) 相比,非营利性医院在后期 (2019-2021) 中不太可能将SUD作为首要社区需求优先考虑.
- 在后期,SUD计划的实施增加了,即使在调整过量率和医院/社区因素之后.
- 尽管药物过量率整体上升,11%的医院减少了SUD服务,15%的医院从未采用SUD服务.
结论:
- 基于医院的SUD基础设施存在重大差距,特别是在需求日益增加的时期.
- 这些差距意味着错失了将弱势群体与基本治疗和护理联系起来的机会.
- 解决这些基础设施缺口对于减轻物质使用障碍的影响至关重要.
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