探索与提供药物辅助治疗相关的医生和护士从业人员的人口统计和专业特征:一项回顾性观察性研究
Hannah L Maxey1, Sierra X Vaughn1, Analise Dickinson1
1Indiana University School of Medicine, Indianapolis, IN, USA.
概括
社区卫生中心的年轻医生和护士更有可能为阿片类药物使用障碍提供药物辅助治疗 (MAT). 提供滑动费用尺度也增加了医生参与MAT计划.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 成 药物 药物 药物 药物
- 主要护理实践的初级护理实践
背景情况:
- 对阿片类药物使用障碍 (OUD) 的药物辅助治疗 (MAT) 越来越多地被纳入初级保健.
- 供应商参与对于在这些环境中成功实施MAT至关重要.
- 识别提供MAT服务的提供商的特点对于有针对性的招聘策略至关重要.
研究的目的:
- 确定与提供MAT相关的初级保健医生和执业护士 (NP) 的人口统计和临床特征.
- 根据初级保健中MAT服务提供者的招聘和留住提供者的策略.
主要方法:
- 使用2021年许可证更新的行政和补充数据进行的回顾性观察研究.
- 包括5259名医生和3486名专门从事初级保健或精神病学的非专业医生.
- 描述性相关设计与千平方和物流回归分析.
主要成果:
- 35岁以下的医生,在联邦资格医疗中心执业,或提供滑动费用表,提供MAT的几率更高.
- 在公共或社区卫生中心执业的NP显示提供MAT的几率明显更高.
- 特定的供应商特征与 MAT 供应的可能性增加有关.
结论:
- 提供者特征,实践环境和财务政策都会影响初级保健中的 MAT 提供.
- 结果可以指导有针对性的招聘,并支持 MAT 集成的可持续性.
- 了解这些因素是扩大在初级保健机构获得OUD治疗的关键.
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