随机和观察的尿液药物查与长期保留在阿片类药物治疗计划中的关联
Pryce S Michener1, Alexander Knee2, Donna Wilson2
1Clinical and Population Health Research Program, Graduate School of Biomedical Sciences University of Massachusetts Chan Medical School, 55 N Lake Ave, Worcester, MA 01655, USA.
Drug and alcohol dependence
|January 6, 2024
概括
在阿片类药物治疗计划 (OTP) 中,大量使用随机和观察性尿液药物查 (UDS) 与较低的长期客户保留率有关. UDS的模式可能会显著影响成治疗中的患者结果.
科学领域:
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 美国的阿片类药物治疗提供者 (OTP) 在进行尿液药物查 (UDS) 和根据结果出院的客户方面有自由裁量权.
- 客户报告随机和直接观察到的UDS是潜在的污名化.
- 有限的研究存在于UDS模式和OTP中保留之间的关联.
研究的目的:
- 检查尿液药物查 (UDS) 的不同方式与阿片类药物治疗计划 (OTP) 的长期保留之间的关联.
- 调查非自愿释放政策如何调节UDS模式和治疗保留之间的关系.
主要方法:
- 采用2016-2017年国家药物滥用治疗系统调查 (NDATSS) 来自甲管理的OTP的数据进行横截面研究.
- 暴露:四个级别的变量分类OTP通过高利用率 (≥90%的客户) 的随机,观察,两者,或没有UDS模式.
- 结果:保持治疗1年或更长时间的客户比例. 分析使用加权分数逻辑回归.
主要成果:
- 在150个有资格的OTP中,有27%没有高度利用UDS模式,15%仅观察,28%仅随机化,31%高度利用两者.
- 据估计,在高度利用两种UDS模式的OTP中,长期保留率为57.7%,而在不高度利用这些做法的OTP中,这一比例为70.4%.
- 强迫性释放政策可能会影响观察到的UDS模式与保留之间的关系.
结论:
- 随机和观察性尿液药物查的高利用率与阿片类药物治疗计划的长期保留率降低有关.
- 尿液药物查的模式可能是影响患者长期留在成治疗服务中的重要因素.
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