专家小组就支持住院后护理过渡的模型的有效性和实施问题达成共识,这些模型是针对物质使用障碍患者的
Michael A Incze1, Sophia Huebler, Kathryn Szczotka
1From the Division of General Internal Medicine, Department of Medicine, University of Utah School of Medicine, Salt Lake City, UT (MAI); Program for Addiction Research, Clinical Care, Knowledge, and Advocacy (PARCKA); Division of Epidemiology, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, UT (MAI, SH, KS, AJG); Division of Epidemiology, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, UT (SH, KS, AJG); University of Oregon, Eugene, OR (SG); and Birmingham Alabama Veterans Affairs Health Care System and University of Alabama at Birmingham Heersink School of Medicine, Birmingham, AL (SGK).
跨学科的成咨询团队 (ACT) 和门诊临床接触显示出改善物质使用障碍 (SUD) 护理过渡的希望. 专家推这些模型,以提高效率和实施,尽管存在可行性挑战.
科学领域:
- 医疗保健管理的管理
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
背景情况:
- 医院越来越多地在医疗入院期间提供物质使用障碍 (SUD) 治疗.
- 对SUD患者的最佳住院后护理过渡模式缺乏共识.
研究的目的:
- 建立基于有效性和实施的SUD护理过渡模型的层次结构.
- 利用专家的共识方法来评估现有模型.
主要方法:
- 一项经过修改的在线Delphi研究,涉及25名跨学科的临床医生,他们有SUD护理过渡经验.
- 专家小组成员使用9分级别对10种过渡模式的有效性 (例如,与护理联系,保留) 和实施 (例如,可行性,可接受性) 进行了评分.
- 组共识使用调整为对称的百分点间范围来确定,超过3轮,保持96%的共识.
主要成果:
- 跨学科的成咨询团队 (ACT) 和门诊临床接触在有效性方面被评为最高.
- 跨学科的ACT和桥梁诊所在实施方面获得了最高的评分.
- 查,简短干预,转诊治疗 (SBIRT),协议实施和离院后宣传获得了最低的评分;实施可行性是关键挑战.
结论:
- 专家一致认为,跨学科的ACT,门诊临床和桥梁诊所是住院后SUD护理过渡的高潜力模型.
- 这些模型提供了感知有效性和实施可行性的平衡.
- 解决实施可行性对于高评级的过渡模型的成功至关重要.
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