对新兴急性物质使用服务模式的结构性变化如何可以减少阿片类药物使用障碍药物的耻辱感的概念框架
Timothy D Becker1,2, Evan L Eschliman3, Ashish P Thakrar4
1Department of Psychiatry, New York-Presbyterian Hospital/Weill Cornell Medicine, New York, NY, United States.
Frontiers in psychiatry
|October 13, 2023
概括
针对阿片类药物使用障碍 (MOUD) 治疗的新型药物治疗模式,整合紧急护理和门诊服务,有望减少耻辱. 这些方法可以改善福祉,并鼓励寻求阿片类药物使用障碍的帮助.
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:
- 对阿片类药物使用障碍 (MOUD) 药物周围的耻辱感会对患者的健康,治疗机会和参与产生负面影响.
- 在急性护理环境中,新兴的MOUD治疗模式旨在改善获取并可能减少耻辱感.
- 将这些新服务模式与减少耻辱的经验证据是有限的.
研究的目的:
- 提出一个概念模型,解释新兴的MOUD服务模型如何减轻耻辱.
- 为了弥合耻辱研究和医疗服务文献之间的差距.
- 概述新MOUD服务模式的特定组件如何减少结构性,公共和自我耻辱.
主要方法:
- 概念分析整合了耻辱和医疗服务提供文献.
- 设计一个模型,重点关注MOUD服务交付中的三个关键流程.
- 确定社区外展,急性护理诱导和门诊过渡如何可以应对耻辱感.
主要成果:
- 新兴的MOUD服务模式整合了急症和门诊护理,可以减少耻辱感.
- 关键的过程包括点对点推广,急诊室布普伦诺芬诱导,以及无过渡到维护护理.
- 这些结构性变化促进了患者的赋权和追求生活目标.
结论:
- 新的MOUD服务提供模式具有显著的潜力,可以减少与阿片类药物使用障碍相关的耻辱感.
- 实施这些模型可以提高阿片类药物使用障碍患者的福祉.
- 护理提供中的结构性变化对于打击MOUD耻辱和改善患者结果至关重要.
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