增加慢性疼痛患者的布普伦诺芬获取:质量改善倡议
Danielle M Wesolowicz1,2, Juliette F Spelman3,4, Sara N Edmond1,2
1Pain Research Informatics Multimorbidities and Education (PRIME) Center, VA Connecticut Healthcare System, West Haven, CT 06516, United States.
Pain medicine (Malden, Mass.)
|October 17, 2023
概括
一项质量改善计划成功将治疗慢性疼痛的布普伦诺芬患者转移到初级保健. 这种简化转移程序可以增加初级保健机构的布普伦诺芬处方.
科学领域:
- 疼痛管理 疼痛管理
- 主要护理医学 医疗保健
- 医疗保健服务研究 医疗服务研究
背景情况:
- 布普伦诺芬是一种有效和更安全的替代品,可用于慢性疼痛管理的全激素阿片类药物.
- 有限的教育和支持阻碍了在初级保健中开布伦诺芬处方和进入专科诊所的机会.
- 优化转移程序可以改善患者在初级保健中获得布普伦诺啡的机会.
研究的目的:
- 优化和评估从专科护理转移稳定在布普伦诺芬治疗慢性疼痛的患者回到初级护理的程序.
- 评估简化转移程序对初级保健中布诺芬处方的影响.
主要方法:
- 在退伍军人卫生管理系统内,在八个初级保健诊所进行了一项质量改善计划.
- 制定并实施了一项标准操作程序,以促进布普伦诺芬处方的转移.
- 通过调查评估初级保健提供者对布普伦诺芬处方的态度,并在18个月内收集患者转移指标.
主要成果:
- 具有先前布普伦诺芬经验的初级保健提供者报告了更大的舒适度和感知到的实践范围.
- 系统和教育障碍被确定,而专业和初级保健的持续支持促进了处方.
- 简化转移程序在转移和保留符合条件的患者在初级保健中取得了成功.
结论:
- 简化转移程序可以提高在初级保健中治疗慢性疼痛的布普伦诺芬处方.
- 解决提供者的舒适性和系统性障碍对于更广泛的布普伦诺芬采用至关重要.
- 这一举措证明了改善初级保健机构获得布普伦诺啡的可行模式.
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