提供者和管理者的态度和在COVID-19大流行期间实施telebuprenorphine的经验:混合方法调查调查
Babak Tofighi1,2, Rosalina Lopez1, Gabriela Araujo1
1New York University School of Medicine, Department of Population Health.
Journal of substance use
|July 15, 2024
概括
在COVID-19大流行期间,Telebuprenorphine的输送有显著的变化. 提供商面临着诸如行政负担和监管变化等挑战,但提出的解决方案包括加强支持和技术整合.
科学领域:
- 成 药物 药物 药物 药物
- 远程医疗服务是远程医疗服务.
- 公共卫生 公共卫生
背景情况:
- 随着COVID-19大流行,医疗保健的快速转变成为必要,包括物质使用障碍治疗.
- 在公共卫生紧急情况下,Telebuprenorphine成为维持治疗准入的关键方式.
研究的目的:
- 评估在COVID-19大流行期间对telebuprenorphine实施的提供商和管理员的看法.
- 识别面临的挑战和有效的策略,以提供telebuprenorphine服务.
主要方法:
- 一个混合方法的研究,利用半结构化的采访与16个telebuprenorphine提供者和管理者.
- 采访的重点是程序设计,临床工作流程,患者因素以及实施挑战/解决方案.
主要成果:
- 临床医生报告了与药物验证,转诊和服务协调相关的行政任务增加.
- 关键的挑战包括员工重新部署,事先授权障碍,远程医疗访问补偿不足以及监管问题.
- 有效的策略包括"热线"即日访问,增强患者支持,药房合作和技术采用 (短信,应用程序).
结论:
- 远程布雷诺啡因服务提供表现出相当多的异质性.
- 解决行政,监管和财务挑战对于优化远程布雷诺啡因护理至关重要.
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