写下来:如何在监禁期间提供阿片类药物使用障碍的药物
Margaret McGladrey1, Jordan Kelsch2, Michelle R Lofwall3
1Center for Innovation in Population Health, College of Public Health, University of Kentucky, Lexington, Kentucky, USA.
概括
在监狱中为阿片类药物使用障碍 (MOUD) 实施药物治疗由于未满足需求而失败. 签订合同的医疗服务提供者必须包括MOUD治疗,以改善被监禁人员的获取.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 惩戒卫生卫生机构
背景情况:
- 阿片类药物使用障碍 (OUD) 是一个重大的公共卫生危机.
- 监狱是OUD患者的关键接触点.
- 将药物治疗阿片类药物使用障碍 (MOUD) 整合到惩戒环境中是具有挑战性的,但至关重要的.
研究的目的:
- 检查在城市县监狱中实施MOUD的挑战.
- 提出将MOUD整合到惩戒医疗保健合同中的战略.
- 倡导政策变化,要求监狱提供MOUD.
主要方法:
- 在监狱中失败的MOUD实施的案例研究分析.
- 对惩戒医疗保健合同模式的审查.
- 为医疗服务提供者提出的建议制定合同语言样本.
主要成果:
- 在本案例中,大量的资源并不能保证MOUD的成功实施.
- 监狱医疗保健的私有化为授权MOUD服务提供了一个机会.
- 合同要求可以激励私人提供商提供MOUD.
结论:
- 在监狱中成功整合MOUD需要医疗提供者明确的合同义务.
- 政策和合同调整至关重要,以确保监禁人员获得MOUD.
- 在整个惩戒设施中标准化MOUD提供可以改善公共卫生结果.
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