紧急部门基于阿片类药物使用障碍的药物治疗计划:解决与护理联系的差距
David C Seaberg1, Jamie McKinnon2, Lyn Haselton3
1Emergency Department, Summa Health, Akron, USA.
Cureus
|July 23, 2024
概括
基于急诊室的阿片类药物使用障碍 (MOUD) 计划的药物帮助患者管理戒断和成. 解决交通和财务等健康的社会决定因素可以改善阿片类药物使用障碍 (OUD) 治疗的保留率.
科学领域:
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 针对阿片类药物使用障碍 (MOUD) 的紧急诊所 (ED) 药物治疗为阿片类药物使用障碍 (OUD) 提供了可访问的治疗方法.
- 健康的社会决定因素 (SDOH) 可以影响OUD计划中的治疗保留.
- 了解患者对SDOH的看法对于计划改进至关重要.
研究的目的:
- 检查影响患者健康的社会决定因素 (SDOH) 在基于ED的MOUD计划中.
- 评估患者对计划好处和障碍的看法.
- 确定影响治疗持续时间的因素.
主要方法:
- 调查对患者进行了调查,这些患者进入了医院和独立ED的基于ED的MOUD计划.
- 成护理协调员 (ACC) 使用标准化工具进行招生.
- 经过培训的研究协调员通过个人调查和重点小组调查收集了关于SDOH和患者反的数据.
主要成果:
- 在60名OUD患者中,有19人 (32%) 参与;16人完成了调查.
- 参与者报告说,ACC有帮助 (94%),MOUD计划有助于戒断和恢复.
- 近40%的人面临交通和财务障碍.
结论:
- 基于ED的MOUD计划和ACC对OUD治疗开始有好处.
- 解决SDOH,特别是运输和财务问题,可以提高患者的参与度和保留率.
- 通过减轻患者识别的障碍,MOUD计划可以克服医疗保健系统的不情愿.
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