服务层面的障碍和促进问题性酒精使用治疗的可获得性:范围审查
Dianna M Wolfe1, Brian Hutton1,2, Kim Corace1,3,4,5
1Ottawa Hospital Research Institute, Ottawa, ON, Canada.
Frontiers in public health
|December 18, 2023
概括
改善获得问题性酒精使用 (PAU) 治疗的机会至关重要. 这次审查发现了许多服务层面的障碍,如成本,等待时间和不方便的时间,阻碍了患者与PAU服务的接触.
科学领域:
- 公共卫生 公共卫生
- 医疗保健的可访问性 医疗保健的可访问性
- 药物使用障碍 药物使用障碍
背景情况:
- 问题性酒精使用 (PAU) 的有效治疗依赖于高度可访问的服务.
- 从患者的角度了解障碍和促进者对于优化护理至关重要.
- 之前的研究还没有全面地绘制出影响PAU治疗准入的服务级特征.
研究的目的:
- 进行范围审查,确定PAU治疗服务的可修改特征.
- 将已确定的障碍物和促进者映射到已建立的医疗保健准入框架中.
- 为 PAU 服务的设计和修改提供信息,以提高可访问性.
主要方法:
- 在MEDLINE,Embase,Cochrane图书馆和灰色文学 (2010-2022) 中进行了系统的搜索.
- 包括定性研究和对患有PAU的成年人的调查,重点关注影响访问的服务特征.
- 障碍物被编码和绘制,使用Levesque的医疗保健准入框架.
主要成果:
- 109项研究发现了许多服务层面的PAU治疗障碍.
- 主要障碍包括缺乏明确的入口点,复杂的护理途径,高成本,长时间等待,地理不便和不方便的时间.
- 缺乏文化敏感性,缺乏隐私和缺乏同时出现的心理健康服务也是重要的障碍.
结论:
- 许多可修改的服务级别因素阻碍了获得问题性酒精使用治疗的机会.
- 解决这些障碍,包括改善方便性,成本和综合护理,可以提高治疗参与度.
- 这些发现支持重新设计PAU服务,以更好地满足患者需求并改善可访问性.
相关概念视频
01:21Barriers to Effective Communication II
3.7K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.7K
01:28Self-Help Support Groups
32
Self-help support groups are voluntary, community-based organizations that provide a platform for individuals with shared concerns to exchange support, insights, and practical strategies for coping with life challenges. Typically led by group members or paraprofessionals, these groups form a cornerstone of mental health care, especially in reaching populations that are underserved by traditional healthcare systems.
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
32
01:30Barriers to Effective Communication I
8.9K
A communication barrier is any distortion or interruption during a conversation, resulting in miscommunication of the message. A good communicator should know these barriers and continuously check for the listener's understanding by obtaining feedback.
Communication barriers include the following:
Physiological barriers: They are limitations caused by a person's health condition or disability, such as hearing loss, poor eyesight, illness, or unconsciousness. An example to overcome this...
Communication barriers include the following:
Physiological barriers: They are limitations caused by a person's health condition or disability, such as hearing loss, poor eyesight, illness, or unconsciousness. An example to overcome this...
8.9K
01:27CNS Depressants: Alcohol and Nicotine
214
Ethanol, a clear colorless alcohol, has been consumed by humans for millennia, but its effects on the body are far from benign. At lower doses, it induces decreased inhibitions and loquaciousness, leading to its social appeal. However, it can cause severe consequences at higher doses, such as coma and respiratory depression, due to its zero-order elimination kinetics. Chronic ethanol abuse wreaks havoc on multiple organ systems, particularly the CNS and the liver. Abrupt cessation of ethanol...
214
01:24Substance Use Disorders Affecting Sleep
169
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
169
01:30Specialized Care Centers and Settings-II
728
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
728