阿拉巴马州患者对阿片类药物使用障碍的远程医疗治疗的体验
Scott G Weiner1, Amelia Burgess2, Herman Singh2
1Bicycle Health, Inc., Boston, MA, United States of America; Department of Emergency Medicine, Brigham and Women's Hospital, Boston, MA, United States of America.
Journal of substance use and addiction treatment
|July 3, 2024
概括
对于远程医疗的强制性面对面访问造成了严重的患者负担,包括旅行和错过工作. 患者发现远程医疗有效,并且不希望面对面的要求.
科学领域:
- 医学研究 医学研究
- 公共卫生政策 公共卫生政策
- 成 药物 药物 药物 药物
背景情况:
- 在COVID-19大流行期间,阿片类药物使用障碍 (OUD) 治疗的远程医疗扩大了.
- 阿拉巴马州2022年7月颁布的法律规定,每年必须对患者进行面对面的拜访,以获得布普伦诺芬治疗.
- 建立了一个临时诊所,以符合新的面对面访问要求.
研究的目的:
- 评估强制性年度面对面访问对接受远程医疗布普伦诺芬治疗OUD的患者的影响.
- 评估患者对OUD治疗亲临诊所的必要性和益处的看法.
主要方法:
- 在一个临时诊所对158名患者 (98.8%的完成率) 进行了一项调查.
- 该调查收集了关于旅行距离,时间,儿童保育需求和错过工作的数据.
- 患者同意/不同意关于面对面访问和远程医疗有效性的陈述,使用5分利克尔特比例表来衡量.
主要成果:
- 患者平均行驶86.4英里,旅行时间为1.6小时.
- 15.8%需要照顾孩子,25.3%错过了工作.
- 患者不同意面对面的访问可以改善护理或治疗的成功,并且强烈同意远程医疗足以治疗OUD.
结论:
- 远程医疗OUD服务的年度面对面访问任务给患者带来了巨大的负担.
- 患者反表明缺乏对面访问的愿望,并强烈偏爱远程医疗.
- 强制性面对面要求可能会对患者的OUD接入和治疗坚持产生负面影响.
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