实施便利化的试验,以增加及时接受甲治疗的机会
J Gryczynski1, S G Mitchell1, M Whitter2
1Friends Research Institute, Inc., Baltimore, MD, United States of America.
Journal of substance use and addiction treatment
|April 20, 2024
概括
实施便利化 (IF) 在阿片类药物治疗计划 (OTP) 中改善了及时的甲治疗入院. 虽然暂时甲 (IM) 没有被采用,但改进的流程在可持续性阶段导致了更高的入院率.
科学领域:
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
- 实施科学 实施科学
背景情况:
- 在阿片类药物流行期间,阿片类药物治疗计划 (OTP) 面临着及时入院的挑战.
- 临时甲 (IM) 治疗提供了一个解决方案,以便在咨询能力有限时及时入院.
- 国际货物管理需要联邦和州的批准,自1993年以来一直未得到充分利用.
研究的目的:
- 评估实施便利化 (IF) 对及时接受甲治疗的影响.
- 评估采用临时甲 (IM) 和录取程序的变化.
- 为了确定IF是否改善了入学率,在申请后的14天内.
主要方法:
- 在四个州的六个OTP中使用了修改后的阶梯形设计.
- 实施便利化 (IF) 涉及数据收集,外部促进者和学习合作伙伴.
- 在28个月内收集了3,108个治疗请求和入院的数据.
主要成果:
- 没有一个OTP采用IM,但所有OTP都制定了针对其潜在使用的政策.
- 随着时间的推移,入院延迟减少了,并且有显著的地点异质性.
- 及时录取率从56.2% (预实施) 增加到78.8% (可持续性),可持续性期间有显著改善 (OR=2.35).
结论:
- 研究参与和IF活动可能推动了及时录取的改善.
- 仅将变化归因于IF需要谨慎,因为研究的局限性和COVID-19大流行.
- 需要进一步的研究才能充分了解IF对OTP招生的影响.
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