在联邦法规初步修订后,纽约州的阿片类药物治疗计划中使用甲剂量
Ashly E Jordan1, Marcus A Bachhuber1, Ellenie Tuazon2
1New York State Office of Addiction Services and Supports, Albany, NY, USA.
Drug and alcohol dependence
|April 6, 2024
概括
纽约州的阿片类药物治疗计划 (OTP) 在监管变化之后,在美沙带回家剂量方面出现了最初的转变. 然而,出现了朝着更严格的剂量表的趋势,表明需要继续支持OTP.
科学领域:
- 成 药物 药物 药物 药物
- 公共卫生政策 公共卫生政策
- 医疗保健服务研究 医疗服务研究
背景情况:
- 2020年3月的临时联邦豁免允许在阿片类药物治疗计划 (OTP) 中增加家用甲剂量.
- 纽约州 (NYS) 医疗补助机构在2020年3月为OTPs实施了一套捆绑性报销方法,以确保财务可持续性.
- 这些监管和财务转变促使对纽约州的甲剂量表进行了审查.
研究的目的:
- 分析在监管和补偿政策修改之前和之后,纽约市卫生局的OTP中甲剂量表的变化.
- 评估政策变化对患者获得家用甲剂量的影响.
主要方法:
- 一项回顾性队列研究利用了2020年2月的NYS OTP患者数据 (基线) 和2020年5月至2021年8月的每周调查数据.
- 使用奇平方测试和波桑回归来比较随时间推移的甲剂量表.
- 数据包括患者层面的信息和来自该州绝大多数OTP的每周调查答案.
主要成果:
- 2020年2月至5月期间,每日甲剂量显著下降,从55.4%降至16.3%患者.
- 在同一时期,每周到每月的剂量显著增加,从26.9%增加到54.5%的患者.
- 在最初的变化之后,随后的趋势显示每日剂量逐渐增加,每周到每月剂量下降.
结论:
- 尽管最初增加了灵活的甲剂量,但观察到趋势是更严格的时间表.
- 阿片类药物治疗计划需要持续的支持,以有效地利用政策变化并提高患者的治疗结果.
- 需要进一步的研究,以了解这些剂量表转移的长期影响.
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