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基于医院的阿片类药物治疗:扩大和维持德克萨斯州的模式
Christopher Moriates1, Alanna Boulton1, Blair Walker2
1Department of Internal Medicine, Dell Medical School at The University of Texas at Austin, Austin, Texas, USA.
Journal of hospital medicine
|October 25, 2023
概括
布普伦诺芬团队 (B-Team) 计划有效地使用医院阿片类药物治疗 (HBOT) 治疗阿片类药物使用障碍 (OUD). 该模型显示了持续的患者参与,并已扩展到多家医院.
科学领域:
- 成 药物 药物 药物 药物
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 阿片类药物使用障碍 (OUD) 是一个重大的公共卫生挑战.
- 基于医院的阿片类药物治疗 (HBOT) 模式为启动护理提供了潜在的解决方案.
- 布普伦诺啡团队 (B-Team) 计划是为了提供HBOT而建立的.
研究的目的:
- 报告关于B团队HBOT计划可持续性和扩展的后续数据.
- 评估医院出院后患者在门诊护理中的保留时间.
- 评估HBOT模型的可扩展性.
主要方法:
- 该B团队在2018年9月至2023年1月期间为398名OUD患者启动了布普伦诺芬治疗.
- 对353名出院后的患者进行了门诊护理协调.
- 追踪了合作伙伴成治疗诊所的患者预约出席率.
主要成果:
- 249名符合条件的患者中有73人 (36%) 在出院6-12个月后参加了诊所预约.
- 180名患者中有40人 (22%) 在出院后至少1年仍在接受护理.
- 另外三个德克萨斯州医院采用了HBOT模型,在2021-2022年治疗了1037名患者.
结论:
- 纵向结果支持HBOT作为治疗OUD患者的有效模式.
- B-Team计划证明了可持续性和成功的扩张.
- 医院启动的布普伦诺芬治疗可以导致患者持续参与成治疗.
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