"我在正确的道路上":探索1个月的保留在无家可归者定制的门诊阿片类药物治疗计划
Danielle R Fine1,2, Natalia Critchley1, Katherine Hart1
1Massachusetts General Hospital, Boston, MA, USA.
Substance use & addiction journal
|January 23, 2024
概括
针对无家可归者的办公室阿片类药物治疗 (OBOT) 计划可以通过解决环境和社会障碍来改善保留率. 关键的促进者包括临床经验和综合护理,而障碍涉及交通和社交网络.
科学领域:
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
- 医疗保健服务研究 医疗服务研究
背景情况:
- 阿片类药物过量危机不成比例地影响了无家可归的人.
- 针对无家可归人口量身定制的办公室阿片类药物治疗 (OBOT) 计划至关重要.
- 了解保留促进者和障碍物对于计划的成功至关重要.
研究的目的:
- 评估在适合无家可归者的OBOT计划中保持便利者和障碍.
- 确定影响患者参与和长期治疗坚持的因素.
- 为改善弱势群体OBOT计划有效性的干预提供信息.
主要方法:
- 与24名无家可归经验丰富的成年人进行了定性深度访谈,这些成年人参加了OBOT计划.
- 根据1个月的保留状态进行有目的抽样 (保留与不保留).
- 使用先验框架 (弱势群体的行为模型) 和新兴代码的抽象分析过程.
主要成果:
- 共同的促进者:积极的临床经验,低门模式,支持性工作人员,综合护理.
- 被保留的参与者的促进因素:个人动机,延长释放布伦诺芬,感知有效性.
- 常见的障碍:具有挑战性的诊所环境,生计困难,交通问题. 不被保留的障碍:阿片类药物使用严重程度,社交网络的影响,感知到布普伦诺啡因无效性.
结论:
- 在无家可归的经验丰富的个人中确定了OBOT保留的共同和分歧决定因素.
- 根据保留状态的不同因素提供了潜在的干预点.
- 这些发现可以指导制定有针对性的策略,以加强对无家可归者量身定制的OBOT计划的保留.
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