作为对费城阿片类药物流行病的反应,提供移动服务
Rebecca E Stewart1, Hanna P Christian2, Nicholas C Cardamone2
1University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA. Rebecca.stewart@pennmedicine.upenn.edu.
Addiction science & clinical practice
|November 30, 2023
概括
移动OUD护理单位为边缘化人口提供重要服务,面临资金和空间等挑战. 加强合作和寻求计划性资金对于它们的可持续性至关重要.
科学领域:
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
- 医疗保健服务研究 医疗服务研究
背景情况:
- 阿片类药物使用障碍 (OUD) 和艾滋病毒不成比例地影响边缘化群体,包括无家可归的人和注射毒品的人 (PWID).
- 移动OUD护理服务正在出现,以改善获得和减少治疗障碍.
- 关于这些移动单元的运营能力,服务和挑战的研究有限.
研究的目的:
- 描述移动OUD护理服务在高发病率城市的容量,障碍和持续性.
- 了解移动OUD护理单位所提供的服务,运营模式和所面临的挑战.
主要方法:
- 与费城所有七个移动OUD护理单位的领导进行了半结构面试.
- 收集的数据包括服务,人员,运营,资金,临床方法以及障碍/促进者.
- 快速定性分析被用来编码采访录音.
主要成果:
- 移动OUD护理单位由小型多学科团队组成,提供诸如布普伦诺芬处方,纳洛,伤口护理和病例管理等服务.
- 主要障碍包括实际的运营挑战,缺乏社区支持,大量的患者需求,以及对足够的员工工资的资金担忧.
- 促进者包括积极的社区关系,实体间的合作,以及像同行恢复专家这样的非临床工作人员的存在.
结论:
- 移动OUD护理单位对于使边缘化个体参与OUD和提供救命服务至关重要.
- 解决PWID护理的复杂性需要在移动提供者和更广泛的治疗系统之间加强合作.
- 政策制定者应该考虑专门的计划性资金,以确保移动OUD护理服务的长期可行性.
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