在初级保健中青少年物质使用障碍:治疗转诊的挑战超出了获取可用性
Benjamin Lai1, Jonathan Good1, Gagandeep Singh2
1Department of Family Medicine, Mayo Clinic, Rochester, MN, USA.
Journal of primary care & community health
|September 6, 2024
概括
在初级保健中,对儿科物质使用障碍 (SUD) 的查至关重要. 一项试点研究发现,农村地区的阳性查率更高,但提供者层面的障碍阻碍了干预.
科学领域:
- 儿科初级护理专业的儿童初级护理
- 青少年物质使用障碍 青少年物质使用障碍
- 公共卫生 公共卫生
背景情况:
- 致命的过量服用是儿童死亡的第三大原因.
- 常规物质使用障碍 (SUD) 查不是初级保健中的标准做法.
- 对青少年SUD的早期鉴定和干预可以预防长期伤害.
研究的目的:
- 在初级保健机构使用CRAFFT工具对青少年SUD进行普遍查.
- 评估将SUD查整合到健康儿童和生病儿童访问中的可行性和结果.
- 评估对积极查的青少年的护理联系.
主要方法:
- 在为期3个月的试点研究中,在城市和农村的初级保健实践中,对12至17岁的患者实施了CRAFFT查.
- 与儿科成服务部门的合作确保了对积极查的患者的转诊可用性.
- 查发生在健康儿童和急性/生病儿童访问期间.
主要成果:
- 在城市 (90%) 和农村 (52.6%) 地区,CRAFFT的完成率更高.
- 与城市实践相比,农村实践中 (14.6%) 的阳性查率明显高于城市实践 (2.4%).
- 只有27%的阳性查患者从提供者那里获得了物质使用咨询,没有转诊.
结论:
- 提供者层面的障碍妨碍了有效的SUD干预,尽管有可用的专业服务.
- 需要进一步的研究,以了解和解决这些障碍在初级保健设置.
- 优化青少年SUD查需要克服医疗保健提供中的系统性挑战.
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