在初级保健中实施药剂师集成的阿片类药物使用障碍药物治疗合作模式:研究设计和方法考虑
Bethany McLeman1,2, Phoebe Gauthier3,4, Laurie S Lester3,4
1Northeast Node, NIDA Drug Abuse Treatment Clinical Trials Network, Hanover, NH, USA. Bethany.m.mcleman@dartmouth.edu.
Addiction science & clinical practice
|March 19, 2024
概括
药剂师可以融入初级保健团队,以改善阿片类药物使用障碍 (OUD) 治疗. 这项研究评估了一种由药剂师领导的模型 (PrIMO),评估其可行性,可接受性以及对患者结果和护理能力的影响.
科学领域:
- 实施科学 实施科学
- 药剂师主导的干预措施是药剂师领导的干预措施.
- 合作护理模式的合作护理模式.
背景情况:
- 药剂师是治疗阿片类药物使用障碍 (OUD) 的未充分利用的资源.
- 现有的研究主要集中在药剂师对OUD (MOUD) 药物的处方上,对初级保健机构内的综合协作护理模型的研究有限.
研究的目的:
- 在四个不同的初级保健场所实施和评估药剂师集成的MOUD临床模型 (PrIMO) 的可行性,可接受性和影响.
- 评估该模型对患者结果的影响,包括MOUD治疗保留,药物坚持,服务利用和物质使用.
- 确定该模型对初级保健机构管理OUD患者的能力的影响.
主要方法:
- 利用实施研究和实施便利化的综合框架来指导研究开发和支持PrIMO的采用.
- 使用实施完成阶段 (SIC) 评估实施可行性.
- 采用混合方法,结合调查,采访 (提供者,药剂师,技术人员,管理人员,患者) 和电子健康记录数据,以评估可接受性和影响.
主要成果:
- 该研究旨在证明启动PrIMO模型 (达到SIC第6阶段) 的可行性.
- 假设该模型将被工作人员和患者所接受.
- 预计将对患者的治疗结果产生积极影响 (例如,增加MOUD保留,坚持) 和增加OUD护理站点容量.
结论:
- 这项研究将提供有关OUD治疗药剂师综合协作护理模式的数据.
- 这些发现可能表明PrIMO模型是可行的,对工作人员和患者来说都是可以接受的.
- 该研究预计将对患者获得MOUD和整体治疗结果产生有利影响.
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