从患者的角度评估阿片类药物使用障碍障碍和阿片类药物使用障碍的治疗
Cecilia M T Nguyen1, Grace Kubiak1, Neil Dixit1
1Medical College of Wisconsin, Milwaukee, WI.
PRiMER (Leawood, Kan.)
|February 26, 2024
概括
对阿片类药物使用障碍 (MOUD) 的药物是有效的,但未得到充分利用. 关键障碍包括耻辱,缺乏提供者知识,以及运输和监禁历史等结构性问题,阻碍获得MOUD治疗.
科学领域:
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
- 定性研究是指质量研究.
背景情况:
- 治疗阿片类药物使用障碍 (MOUD) 的药物非常有效,但在美国尚未得到充分利用.
- 障碍包括耻辱感,供应商知识不足和处方能力有限.
- 这项研究调查了威斯康星州密尔沃基的MOUD访问障碍.
研究的目的:
- 识别和理解患者在获得阿片类药物使用障碍 (MOUD) 药物时所面临的障碍.
- 阐明患者在特定城市环境中获得MOUD治疗的观点.
主要方法:
- 对接受MOUD的30名患者进行了半结构面试.
- 使用定性分析框架方法进行数据分析.
- 字面转录了采访,并分析了针对共同主题的编码数据.
主要成果:
- 患者接受治疗的动机主要来自于自己或亲人.
- 确定了结构性障碍,包括住房不稳定,监禁历史,保险问题和运输挑战.
- 患者还报告了对治疗拒绝和疗效的担忧.
结论:
- 患者的动机是一个关键因素,但结构性障碍显著阻碍了MOUD访问.
- 缺乏交通工具,先前的监禁和有限的临床医生可用性是关键障碍.
- 需要进一步研究影响MOUD访问和质量的结构性不足和偏见.
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