通过RCORP倡议扩大农村社区的阿片类药物使用障碍药物治疗工作人员
C Holly A Andrilla1, Sara C Woolcock1, Kathleen Meyers2
1Department of Family Medicine, WWAMI Rural Health Research Center, University of Washington School of Medicine, Seattle, Washington, USA.
农村社区阿片类药物响应计划 (RCORP) 增加了农村地区豁免临床医生和布普伦诺芬治疗时段的数量. 这项联邦投资显示出对扩大对阿片类药物使用障碍 (OUD) 护理的准入有希望.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 农村卫生 农村卫生
背景情况:
- 阿片类药物使用障碍 (OUD) 仍然是一个重大的公共卫生挑战,特别是在农村社区.
- 农村社区阿片类药物响应计划 (RCORP) 成立,旨在加强贫困农村地区OUD的预防,治疗和恢复服务.
- RCORP的一个关键组成部分是增加药物执法局 (DEA) 豁免处方布普伦诺芬的临床医生人数.
研究的目的:
- 调查RCORP资金对农村社区DEA豁免临床医生的可用性的影响.
- 评估RCORP资助区域与非资助区域相比,临床医生对人口和治疗槽对人口比率的变化.
主要方法:
- 利用2017-2022年DEA豁免临床医生的清单来绘制美国各县的分布图.
- 根据服务区域数据,将农村县分类为由RCORP资助人提供服务或不提供服务.
- 计算了免除临床医生的患病率,临床医生比例和人均治疗时段比例.
主要成果:
- 与非RCORP县相比,RCORP资助的县出现了更高的免费临床医生百分比和更高的临床医生/治疗时段人均比率.
- 在2017年至2022年期间,RCORP和非RCORP县之间的这些差异增加了一倍多.
- 在人口普查部门中观察到差异,除了太平洋部门外,大多数部门都青RCORP县.
结论:
- 通过RCORP的联邦投资似乎有效地增加了农村地区对阿片类药物使用障碍治疗豁免临床医生的供应.
- 这些投资的成功取决于增加临床医生的可用性转化为实际的患者治疗.
- 需要进行进一步的研究,以确认免费临床医生的增强供应是否会改善农村OUD患者的获取和治疗结果.
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