如何将降低危害纳入阿片类药物使用障碍患者的持续护理?
Elizabeth Salisbury-Afshar1, Catherine J Livingston2, Ricky N Bluthenthal3
1Addiction medicine, family medicine, and preventive medicine physician at the University of Wisconsin-Madison School of Medicine and Public Health.
AMA journal of ethics
|July 3, 2024
概括
降低危害的策略,如纳洛和注射器服务,尽量减少与物质使用相关的风险. 公平的阿片类药物使用障碍护理需要这些干预措施与支持性的社会政策一起.
科学领域:
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
- 社会科学 社会科学 社会科学
背景情况:
- 减少危害的战略旨在减轻物质使用的负面影响.
- 这些干预措施被认为是物质使用护理中的第三级预防的一种形式.
- 基于证据的减少危害的关键干预措施包括纳洛分发和注射器服务计划.
研究的目的:
- 突出减少对照顾使用毒品的人的危害的重要性.
- 强调减少危害在改善阿片类药物使用障碍 (OUD) 患者公平结果方面的作用.
- 倡导政策变化,支持全面的OUD护理.
主要方法:
- 文献综述和现有证据的综合关于减少伤害干预的现有证据.
- 对使用物质障碍的政策影响的分析. 治疗连续性.
- 检查与OUD结果有关的健康的社会决定因素.
主要成果:
- 减少危害的干预措施有效地减少了物质使用的负面影响.
- 对OUD的公平结果取决于获得连续的护理,包括减少伤害.
- 阻碍治疗,住房和就业的政策造成了恢复的障碍.
结论:
- 减少伤害是全面OUD护理的关键组成部分.
- 通过政策改革解决系统性障碍对于公平的结果至关重要.
- 综合护理模式,包括减少伤害和社会支持至关重要.
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