在美国的安全网和非安全网医院提供物质使用障碍计划的可用性
Ji E Chang1, Berkeley Franz2, José A Pagán1
1Department of Public Health Policy and Management, School of Global Public Health, New York University, New York, New York.
JAMA network open
|August 28, 2023
概括
与其他医院相比,安全网医院 (SNH) 的成治疗服务较少. 非营利性SNH特别不太可能提供这些基本物质使用障碍 (SUD) 计划.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 成 药物 药物 药物 药物
- 医院管理局 医院管理局
背景情况:
- 安全网医院 (SNHs) 对于为脆弱人群提供医疗保健至关重要,包括那些有物质使用障碍 (SUDs) 的人群.
- 全国SNH中SUD服务的可用性和范围没有得到充分的记录.
- 了解SNH中的服务提供对于解决成治疗准入方面的差异至关重要.
研究的目的:
- 为了比较在美国SNHs与非SNHs中各种SUD治疗计划的交付情况.
- 调查所有权类型是否影响SUD服务可用性的差异.
- 评估美国急症医院中毒治疗服务的现状.
主要方法:
- 2021年美国医院协会医院年度调查的横截面分析.
- 检查了安全网状况,医院所有权和五项关键SUD服务的可用性之间的关联:查,咨询,住院治疗,门诊治疗和治疗阿片类药物使用障碍 (MOUD) 的药物.
- 数据分析于2022年1月至3月进行,包括2846家医院 (409家SNH,2437家非SNH).
主要成果:
- 与非SNH相比,SNH提供所有五种类型的SUD服务的可能性明显低.
- 查 (79%) 和咨询 (60%) 是最常见的服务,而住院治疗 (27%) 和MOUD (37%) 是最不常见的.
- 与非营利性SNH相比,非营利性SNH提供所有SUD服务的几率明显较低,与公共或营利性SNH不同.
结论:
- 在SNH中,提供全面的SUD服务的可能性显著降低.
- 这些发现表明,SNHs内部存在潜在的障碍,阻碍了成治疗计划的采用.
- 需要进一步的研究来确定这些障碍,并制定战略,以提高SUD程序在SNH设置中的可用性.
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