在阿片类药物使用障碍治疗中的远程医疗:扩大获得护理的政策考虑
Auguste Niyibizi1, Arman Haveric2, Giselle Irio3
1St. Lukes's University Hospital, Bethlehem, PA, USA.
Journal of osteopathic medicine
|November 17, 2023
概括
瑞安·海特法案限制了获得阿片类药物使用障碍 (OUD) 药物的机会. 保持大流行时代的远程医疗灵活性,可能通过混合模式,对于患者继续获得护理至关重要.
科学领域:
- 公共卫生 公共卫生
- 药理学 药理学是指药理学的学科.
- 卫生政策 卫生政策
背景情况:
- 2008年"瑞安·海特在线药房消费者保护法案"旨在防止在线转移受控物质.
- 这项立法无意中为需要治疗阿片类药物使用障碍 (MOUD) 药物的患者创造了障碍.
- 随着COVID-19大流行,MOUD处方的临时远程医疗灵活性被引入,从而改善了获取途径.
研究的目的:
- 分析瑞安·海特法案对MOUD访问的影响.
- 探索策略,以保持增加对阿片类药物使用障碍 (OUD) 患者的护理机会.
- 评估结合远程医疗和门诊服务的混合护理模式的潜力.
主要方法:
- 对"瑞安·海特法案"及其影响的政策分析.
- 在COVID-19公共卫生紧急情况期间,对MOUD的远程医疗利用的审查.
- 对OUD治疗的混合模型的概念化.
主要成果:
- 瑞安·海特法案的限制对MOUD的访问产生了负面影响.
- 在大流行期间,临时的远程医疗灵活性证明了对护理的更好获得.
- 混合模式为持续获得和综合护理提供了可行的解决方案.
结论:
- 政策制定者必须解决"瑞安·海特法案"所规定的局限性.
- 保持一些宽松的远程医疗限制对于OUD患者护理至关重要.
- 一种混合的门诊和远程医疗模式可以平衡获得与安全,全面治疗OUD.
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