为医疗补助计划注册者实施办公室成治疗模式:一种混合方法研究
Peter Treitler1, Michael Enich2, Cadence Bowden3
1Center for Health Services Research, Institute for Health, Health Care Policy and Aging Research, Rutgers, the State University of New Jersey, 112 Paterson St. 3rd Floor, New Brunswick, NJ 08901, United States of America; Boston University School of Social Work, 264 Bay State Rd., Boston, MA 02215, United States of America.
Journal of substance use and addiction treatment
|November 7, 2023
概括
新泽西州的办公室成治疗 (OBAT) 计划通过增强补偿和患者导航服务,增加了对阿片类药物使用障碍 (MOUD) 药物的获取. 程序的调整可以进一步改善这些重要治疗的吸收和利用.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 成 药物 药物 药物 药物
- 公共卫生政策 公共卫生政策
背景情况:
- 对阿片类药物使用障碍 (MOUD) 的药物非常有效,但未得到充分利用.
- 新泽西州的医疗补助计划于2019年推出了基于办公室的成治疗计划 (OBAT),以解决这一差距.
- 该OBAT计划旨在通过提高布普伦诺芬的报销和覆盖患者导航服务来增加获取机会.
研究的目的:
- 评估利益相关者对OBAT计划的经验.
- 评估新泽西州的OBAT计划的实施和采用情况.
- 通过OBAT模型了解通过MOUD访问的障碍和促进者.
主要方法:
- 一种混合方法设计,整合了定性访谈和定量医疗补助申请数据.
- 与22名MOUD提供者和8名关键信息人进行了半结构化采访.
- 对利用OBAT服务的5380名入学者的2019-2020年NJ医疗补助申请进行分析.
主要成果:
- 提供者注册和OBAT服务使用率稳步增加.
- 增强的报销激励了MOUD的处方,患者导航改善了护理.
- 招生障碍包括导航员要求,行政负担和退款延误.
结论:
- 在新泽西州,OBAT模型很可能扩大了MOUD的访问.
- 患者导航是一个关键的,有价值的服务,尽管存在挑战.
- 建议对程序进行调整,以提高MOUD服务的采用和利用率.
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