为注射毒品的人提供基于证据的综合护理服务:一个集群随机试验
Kathleen R Page1, Brian W Weir2, Katie Zook1
1Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Addiction (Abingdon, England)
|April 1, 2024
概括
与通常的服务相比,注射毒品的人 (PWID) 的综合护理车并没有显著改善减少伤害的结果. 目标群体参与度低,使研究受限.
科学领域:
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
- 医疗保健服务研究 医疗服务研究
背景情况:
- 注射吸毒者 (PWID) 面临着严重的健康风险和获得护理的障碍.
- 现有的PWID服务往往是分散的,阻碍了有效的干预交付.
- 一辆综合护理货车 (ICV) 被开发出来,直接向PWID.提供综合服务.
研究的目的:
- 测量综合护理货车 (ICV) 在改善PWID的减伤结果方面的有效性.
- 评估一辆提供各种服务的移动卫生车是否可以改善PWID的获取和健康结果.
主要方法:
- 一个集群随机试验在巴尔的摩进行,MD,涉及12个社区.
- 六个社区每周接受ICV访问,而六个社区在14个月内获得通常的服务.
- 主要结局是综合减轻危害的得分,在7个月后对基线进行评估.
主要成果:
- ICV成功为许多客户提供服务,但只有7.2%的注册队列参与者使用了货车.
- 在两组中,平均危害减轻得分从基线下降到7个月.
- 在ICV和通常的服务部门之间没有观察到组合得分的变化有显著差异.
结论:
- 来自ICV的每周邻里访问并没有证明与通常服务相比,PWID的减少危害的结果有所改善.
- 由于目标群体对ICV的利用率较低,这项研究的发现显著差异能力受到限制.
- 研究结果表明,虽然移动卫生货车可以接触到许多人,但针对特定群体的参与策略需要进一步调查.
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