在马萨诸塞州农村社区实施阿片类药物过量后接触计划的教训
Rithika Senthilkumar1, Amelia Bailey2,3, Emily Moner1
1Department of Health Promotion and Policy, School of Public Health and Health Sciences, University of Massachusetts Amherst, Amherst, MA, 01003, USA.
Community mental health journal
|October 30, 2023
概括
过量服用后的外展计划减少了阿片类药物死亡. 农村实施CONNECT计划突出了数据共享和污名化等挑战,为这些重要服务提供了最佳实践.
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
- 实施科学 实施科学
背景情况:
- 过量服用后的外展计划对于减少阿片类药物过量死亡和改善医疗保健准入至关重要.
- 在农村环境中实施这些计划带来了独特的挑战和知识差距.
- 了解实施经验对于计划适应和有效性至关重要.
研究的目的:
- 探讨在马萨诸塞州的一个农村社区实施社区,机会,网络,导航,探索和连接团队 (CONNECT) 计划的经验教训.
- 确定在农村环境中实施过量后推广计划的促进者和障碍.
- 通过健康公平实施框架的透视来分析实施因素.
主要方法:
- 与参与CONNECT设计和实施的21个社区合作伙伴进行了半结构化的焦点小组和采访.
- 利用主题和快速的定性分析来编码转录,并确定突出的主题.
- 将确定的主题映射到健康公平实施框架中.
主要成果:
- 促进者包括有效的合作伙伴间数据共享,协调和提供多种健康服务.
- 该计划有效地为农村地区的阿片类药物使用,法律系统参与和低收入地位的个人提供服务.
- 障碍包括结构性限制,阻止接触无家可归的人和那些不打911的人;农村挑战包括有限的医疗保健和物质使用耻辱,但促进了合作.
结论:
- 过量服用后的外展计划解决了复杂的健康需求,受计划设计,合作伙伴和社区背景的影响.
- 对实施策略进行上下文化对于调整过量后接触计划和开发最佳实践至关重要.
- 需要进一步的研究来完善农村过量后接触计划的战略,以有效解决阿片类药物危机.
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