仔细修补:实施延长释放布普伦诺芬储存治疗阿片类药物依赖的阿片类药物依赖
K Lancaster1, S Gendera2, C Treloar3
1Centre for Social Research in Health, University of New South Wales, Sydney, Australia; Goldsmiths, University of London, UK.
The International journal on drug policy
|February 21, 2024
概括
在阿片类药物主动剂治疗中实施延长释放布伦诺芬储存 (BUP-XR) 需要调整护理实践. 这涉及到包括.
科学领域:
- 科学和技术的社会学.
- 医疗保健服务研究 医疗服务研究
- 药物成治疗 药物成治疗
背景情况:
- 澳大利亚的阿片类激素治疗 (OAT) 正在随着新技术的发展而发展.
- 延长释放布伦诺芬储存 (BUP-XR) 代表了OAT的重大技术转变.
- 了解这些创新的实际实施对于有效的服务提供至关重要.
研究的目的:
- 检查澳大利亚OAT服务中延长释放布诺啡储存 (BUP-XR) 的实施实践.
- 探索护理实践如何受到挑战和适应,以应对长效BUP-XR.R.的引入.
- 分析"修补"的概念,作为一种在医疗保健环境中适应新技术的做法.
主要方法:
- 与参与BUP-XR实施的19家服务提供商进行了定性访谈.
- 从五个不同的实施地点收集数据.
- 分析利用了科学和技术研究 (STS) 的概念,特别是"修补".
主要成果:
- 实施BUP-XR涉及"修饰",这是一个适应过程,减缓了变革性创新预期.
- 修补促进了灵活性和开放性,导致了新的护理实践和BUP-XR的潜在用途.
- 实施突出了护理方面的转变,例如没有每日监督剂量和需要重新校准心理社会支持.
结论:
- 实施像BUP-XR这样的长效技术需要医疗保健提供者的适应性"调整".
- 这种适应过程影响了新技术的整合,并重塑了OAT内部的既定护理实践.
- 需要进一步的研究来了解BUP-XR对更广泛的成治疗环境的长期影响.
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