从政策制定者的COVID-19政策灵活性经验中对阿片类药物使用障碍治疗的考虑
Lavonia Smith LeBeau1, Mackenzie C White1, Rachel Mosher Henke1
1Customer Value Partners, Washington, D.C. (Smith LeBeau); IBM Consulting, Bethesda (White); The Lewin Group, Optum Serve, Boston (Henke); Chobanian & Avedisian School of Medicine, Boston University, Boston (Hyde, Weisberg, Livingston); Center for Healthcare Organization and Implementation Research, U.S. Department of Veterans Affairs (VA) Bedford Healthcare System, Bedford, Massachusetts (Hyde); Boston VA Research Institute, Boston (Sarpong); Behavioral Science Division, National Center for PTSD, VA Boston Healthcare System, Boston (Livingston); Cambridge Health Alliance, Harvard Medical School, Cambridge, Massachusetts (Mulvaney-Day).
国家政策制定者发现,COVID-19的灵活性有利于阿片类药物使用障碍治疗的获取和质量. 学习的经验可以改善长期政策影响,并消除治疗障碍.
科学领域:
- 公共卫生政策 公共卫生政策
- 药物使用障碍治疗 药物使用障碍治疗
- 医疗保健服务研究 医疗服务研究
背景情况:
- 由于COVID-19,联邦政策灵活性对于阿片类药物使用障碍 (OUD) 治疗是必要的.
- 了解国家一级的实施对于政策改进至关重要.
研究的目的:
- 在COVID-19公共卫生紧急情况期间检查联邦OUD治疗政策灵活性的州实施情况.
- 收集州级行为健康政策制定者的见解.
- 为改善长期政策影响提供建议.
主要方法:
- 质量研究涉及11个半结构面试与6个州政府的13个利益相关者.
- 记录被定性编码并分析了国家,机构和提供者层面的障碍和促进者.
- 通过比较分析确定了总体主题.
主要成果:
- 政策制定者报告说,灵活性对OUD治疗的准入,连续性和质量产生了积极的影响.
- 在放松的药物治疗方案下,没有报告增加的不良事件.
- 实施挑战包括政策差距,竞争国家政策,责任问题和耻辱.
结论:
- 从国家实施中吸取的经验教训对于永久采用OUD治疗灵活性至关重要.
- 解决已确定的挑战可以提高政策有效性,减少治疗障碍.
- 考虑这些发现可以提高长期OUD治疗结果.
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