医生不愿干预成:一个系统审查
Melinda Campopiano von Klimo1, Laura Nolan1, Michelle Corbin2
1JBS International, Inc, North Bethesda, Maryland.
JAMA network open
|July 17, 2024
概括
由于缺乏机构支持,知识和技能,医生犹是否采用基于证据的实践 (EBP) 来治疗物质使用障碍. 解决这些障碍可以改善成治疗和医生采用EBP.
科学领域:
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
- 医生教育 医生教育
背景情况:
- 美国面临着持续的过量疫情,到2022年将有超过107,000人死亡.
- 尽管有培训工作,医生对物质使用障碍 (SUD) 采用基于证据的实践 (EBP) 仍然很低.
研究的目的:
- 确定医生报告的不愿意处理物质使用和成的原因.
- 探索医生在实施查,治疗,减少伤害和恢复支持干预措施方面的障碍.
主要方法:
- 从1960年到2021年,系统地审查文献,遵守PRISMA指南.
- 包括183项报告来自66732名医生的数据的研究.
- 使用理论领域框架来提取数据.
主要成果:
- 缺乏机构支持 (81.2%),知识 (71.9%),技能 (73.9%) 和认知能力 (73.5%) 是医生不情愿的最常见原因.
- 此外,还发现了一些对退款的担忧.
- 不愿意的原因与医生的专业,干预类型和药物类型有关.
结论:
- 解决医生不情愿需要针对机构支持,知识差距,技能缺陷和认知能力.
- 实施教育倡议,政策制定和项目支持可以加强EBP的采用.
- 未来的研究应该专注于验证的调查工具和理论框架,以提高对医生障碍的理解.
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