社区阿片类药物治疗计划融入联邦合格卫生中心
Christine Neeb1, Brianna M McQuade, Linda Lesondak
1From the Department of Medicine-Internal Medicine, University of Colorado School of Medicine, Aurora, CO (CN); Department of Pharmacy Practice, University of Illinois Chicago College of Pharmacy, Chicago, IL (BMMQ); University of Illinois Chicago, UI Health, Mile Square Health Center, Chicago, IL (CN, LL, SM, NH, SB, JF, NL, EH, RP, NG); Department of Human Development Nursing Science, University of Illinois Chicago, Chicago, IL (JMS); Chestnut Health Systems, Lighthouse Institute, Chicago, IL (DPW); and Department of Psychiatry, University of Illinois Chicago, Chicago, IL (NK).
将阿片类药物治疗计划 (OTP) 与联邦合格医疗中心 (FQHC) 整合,提供了一个可行的模型,以扩大对阿片类药物使用障碍 (OUD) 甲治疗的获取. 这种协作方法成功地为服务不足的城市人口提供了综合护理.
科学领域:
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
- 医疗保健整合 医疗保健整合
背景情况:
- 越来越多的阿片类药物过量死亡需要创新的解决方案来治疗阿片类药物使用障碍 (MOUD) 的药物.
- 芬太尼使用者的布普伦诺芬启动障碍突出了扩大甲治疗选择的必要性.
- 将阿片类药物治疗计划 (OTP) 与初级保健机构相结合,可以改善患者的获取和治疗结果.
研究的目的:
- 描述一种综合的甲和初级保健治疗模式的开发和实施.
- 评估OTP与联邦合格卫生中心 (FQHC) 之间合作的可行性.
- 评估综合护理对城市贫困人口获得治疗的影响.
主要方法:
- 在FQHC内同时设置OTP甲分发站点.
- 使用共享人员模型,利用OTP和FQHC的专业知识.
- 通过图表审查收集和分析患者的人口统计数据,病史和保留数据.
主要成果:
- 在2021年1月至2023年2月期间,288名患者参加了OTP-FQHC综合计划.
- 90天和180天的患者保留率与已建立的OTP相比.
- 综合模型证明了运营可行性.
结论:
- 通过现有的人员结构,FQHC和OTP之间的合作在操作上是可行的.
- 这种综合模型成功地增加了获得甲治疗和初级保健的机会.
- 这种方法是有效的服务城市,服务不足的患者群体与阿片类药物使用障碍.
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