优化患者参与阿片类药物使用障碍治疗:初级保健团队对影响因素的观点
Elizabeth J Austin1,2, Jessica Chen3, Elena Soyer3
1Department of Health Systems and Population Health, School of Public Health, University of Washington, Box 351621, Seattle, WA, USA. austie@uw.edu.
Journal of general internal medicine
|July 29, 2024
概括
初级保健团队面临的挑战是吸引患有阿片类药物使用障碍 (OUD) 的患者. 解决系统层面的因素和促进团队协作可以改善OUD治疗的参与度.
科学领域:
- 初级医疗保健医学 一级医疗保健医学
- 成 药物 药物 药物 药物
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在初级保健 (PC) 环境中,阿片类药物使用障碍 (OUD) 治疗的参与往往不够理想.
- 了解PC团队的经验对于改善OUD护理中的患者参与和结果至关重要.
研究的目的:
- 探索多学科PC团队对障碍和促进参与患者OUD治疗的障碍和促进者的观点.
主要方法:
- 使用半结构化的深度访谈对35名参与OUD护理的PC团队成员进行定性研究.
- 数据分析采用了恒定比较方法,基于个人,人际关系和卫生系统领域的患者参与理论.
主要成果:
- 影响参与的关键主题包括访问间患者接触有限,提供者对OUD讨论的信心变化,以及结构性时间限制.
- 基于团队的方法减轻了倦怠,但注意到缺乏共同的组织愿景来减少OUD的危害.
结论:
- PC团队对OUD护理参与的能力是多因素的,在解决系统层面的时间和协作限制方面具有重大潜力.
- 促进组织对OUD治疗目标的协调对于增强患者参与和护理提供至关重要.
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