对阿片类药物使用障碍的移动治疗:实施基于社区的当天药物获取干预措施
Avik Chatterjee1, Trevor Baker2, Maria Rudorf2
1Boston University School of Medicine, Boston, MA, United States of America; Boston Medical Center, Boston, MA, United States of America.
Journal of substance use and addiction treatment
|December 21, 2023
概括
移动药物治疗阿片类药物使用障碍 (MOUD) 计划改善了获得救命治疗的机会,促进了健康公平,并减少了过量死亡. 这些创新的移动单位克服了医疗保健的重大障碍,尽管存在资金和社区耻辱的挑战.
科学领域:
- 公共卫生 公共卫生
- 药物使用障碍治疗 药物使用障碍治疗
- 医疗保健服务研究 医疗服务研究
背景情况:
- 治疗阿片类药物使用障碍 (MOUD) 的药物非常有效,但在美国未得到充分利用,只有不到20%的符合条件的个人接受这些药物.
- 移动MOUD计划在马萨诸塞州和俄俄州实施,作为治愈社区研究 (HCS) 的一部分,以解决访问障碍.
研究的目的:
- 记录移动MOUD程序的设计和组织结构,提供当天或第二天的服务.
- 探索实施促进者和障碍,以及运营上的成功和挑战.
主要方法:
- 与来自两个州的五个移动MOUD计划的项目人员 (n=11) 进行了半结构面试.
- 对采访成绩单进行了主题分析,以社会生态模型和采访协议为指导.
主要成果:
- 移动MOUD单位旨在加强即时访问,通过多元化人员和多语言资源促进公平,并减少过量死亡事故.
- 该计划的主要特点包括减少伤害,提供综合医疗服务 (如伤口护理),运输支持和远程医疗整合.
- 促进者包括强有力的伙伴关系,地方政治理解,灵活的协议和现场处方者;障碍涉及许可,人员,资金不稳定性和耻辱感.
结论:
- 移动MOUD单位代表了一种创新策略,以扩大对阿片类药物使用障碍必需药物的获取.
- 这些计划有效地促进了治疗公平性,并有助于减轻与成服务相关的耻辱感.
- 尽管面临着各种组织,社区和政策障碍,但移动MOUD服务在扩大拯救生命的治疗选择方面显示出巨大潜力.
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