医疗保健提供者对药物使用障碍患者的耻辱:全国代表性调查协议
Carrigan Leigh Parish1, Daniel J Feaster2, Harold A Pollack3
1Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, Miami, FL, United States.
JMIR research protocols
|September 26, 2023
概括
提供者耻辱会对物质使用障碍治疗产生负面影响. 这项研究对医生和牙医进行了调查,以量化耻辱及其对临床实践的影响,旨在为干预措施提供信息,并改善对物质使用障碍患者的护理.
科学领域:
- 公共卫生 公共卫生
- 医学社会学 医学社会学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 美国面临着一场过量服用的流行病,每年有超过10万人死亡,这突显了严重的公共卫生紧急情况.
- 提供者层面的障碍,包括负面态度和耻辱感,显著扩大了阿片类药物使用障碍的治疗差距.
- 了解提供者对有物质使用障碍 (SUD) 患者的耻辱感对于扩大治疗提供至关重要.
研究的目的:
- 评估对患有物质使用障碍 (SUD) 的患者提供者耻辱的流行率和强度.
- 检查提供者耻辱如何影响紧急医疗,初级保健和牙科的临床实践.
- 为了比较与其他慢性疾病相关的SUDs与其他慢性疾病相关的提供者耻辱和做法.
主要方法:
- 在全国范围内对初级保健医生,急诊医生和牙医进行了横截面调查 (N=3011).
- 医疗状况标准衡量了提供者的耻辱感,以及熟悉程度,临床实践和知识的评估.
- 采用非大都市地区的过量抽样和分层补偿规模来提高响应率和数据质量.
主要成果:
- 共有1240名参与者完成了调查,总体响应率为53.62%.
- 医生的应答率为50.83% (初级保健:46.79%;急诊医学:58.2%),牙医的应答率为61.4%.
- 数据收集发生在2020年10月至2022年10月期间,通过与国家论研究中心的合作.
结论:
- 关于提供者对物质使用障碍 (SUD) 的耻辱感的量化数据可以指导基于证据的改善策略.
- 调查结果将为医疗保健提供者制定和实施有针对性的耻辱减少干预措施提供信息.
- 解决提供者的看法和行为对于改善SUD患者治疗至关重要.
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