为什么物质使用查频率在成人初级保健中很重要
Grace M Drnach-Bonaventura1,2, Debra W Moore1, Georgie L Scott1
1Program Evaluation and Research Unit, University of Pittsburgh School of Pharmacy, Pittsburgh, PA, USA.
Substance use & addiction journal
|January 23, 2024
概括
经常对不健康物质使用进行查,使用查,简短干预和转诊治疗 (SBIRT) 等做法,有助于识别风险类别的变化. 这项研究强调了查政策对患者风险分层随时间推移的影响.
科学领域:
- 公共卫生 公共卫生
- 药物使用障碍预防预防障碍
- 初级保健干预措施 初级保健干预措施
背景情况:
- 基于证据的早期干预实践,包括查,简短干预和转诊治疗 (SBIRT),对于识别不健康物质使用和预防物质使用障碍至关重要.
- 对于这些干预措施的推查频率存在重大差距.
- 宾夕法尼亚 (PA) 的SBIRT倡议旨在在五年内在初级保健机构中实施SBIRT.
研究的目的:
- 评估PA SBIRT倡议内的查政策对患者物质使用风险类别随时间变化的影响.
- 评估SBIRT在初级保健中实施的有效性,以确定物质使用风险的转变.
主要方法:
- 从7个初级保健中心的1364名患者收集了定量数据,他们使用验证的仪器 (例如AUDIT,DAST) 进行了两次查.
- 患者的人口特征包括49%的男性,51%的女性,81%的白人和14%的黑人.
- 用一个概括的估计方程模型来确定两个查点之间的风险类别变化的统计意义.
主要成果:
- 风险类别发生变化的患者的查之间的平均间隔为9.01个月.
- 在第一次和第二次查之间观察到风险类别的统计学上显著变化 (P > 0.001).
- 值得注意的是,56%的患者在药物使用风险类别中出现了增加,其中91%的患者从低风险转向高风险.
结论:
- 频繁的查政策似乎有助于识别物质使用风险类别的变化.
- 这些发现强调了对最佳查间隔进行进一步研究的需要,以改善早期检测和患者与不健康物质使用的关怀的联系.
- 该研究支持SBIRT在初级保健中的作用,用于主动性物质使用管理.
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