修改收入援助支付计划对吸毒服务获取的影响:来自实验研究的证据
Kaye Robinson1, Allison Laing2, JinCheol Choi3
1Providence Health Care, 1081 Burrard St, Vancouver, BC V6Z1Y6, Canada; British Columbia Centre on Substance Use, 400-1045 Howe Street, Vancouver, BC V6Z 2A9, Canada.
The International journal on drug policy
|January 6, 2024
概括
改变收入援助支付时间表改善了吸毒服务的获取,但增加了减少伤害的障碍. 研究结果建议探索替代支付计划,以支持使用物质挑战的个人获得服务.
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
- 药物使用研究研究 药物使用研究
背景情况:
- 同步的每月收入援助支付与增加的毒品使用和服务获取中断有关.
- 本研究涉及支付时间表对减少危害和服务利用的影响.
研究的目的:
- 评估替代收入援助分配计划是否可以改善减少伤害 (HR),药物治疗和物质使用服务的利用率.
- 评估在不同的支付计划下访问这些服务的障碍.
主要方法:
- 一个探索性,并行组,未盲目的随机对照试验,涉及温哥华的192名成年人报告非法药物使用.
- 参与者被分配到现有的政府计划中,一个单一的每月分阶段支付,或每月两次分期和分阶段支付.
- 一般化的线性混合模型分析了二次结果和服务获取障碍.
主要成果:
- 分摊和分阶段支付组显示增加了获得物质使用服务的机会 (AOR 1.64).
- 分阶段和分&分阶段组都经历了减少危害的障碍 (AOR分别为2.34和2.16) 的增加.
- 分散支付的参与者报告说,药物治疗的障碍降低了,个人支付减少了伤害.
结论:
- 修改支付计划改善了药物使用服务的整体获取,并减少了对药物治疗和HR的一些障碍.
- 在替代支付计划中观察到,人力资源访问的整体障碍增加.
- 结果支持探索替代支付时间表,以提高服务访问,尽管复杂的结果.
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