在社区医院实施阿片类药物使用障碍治疗的障碍和促进因素
Riley Shearer1, Hildi Hagedorn2, Honora Englander3
1University of Minnesota School of Public Health, Minneapolis, MN 55407, USA.
Journal of substance use and addiction treatment
|September 12, 2024
概括
治疗阿片类药物使用障碍 (MOUD) 的药物在医院中使用不足. 这项研究确定了扩大医院阿片类药物治疗 (HBOT) 的障碍和促进因素,以改善患者护理和结果.
科学领域:
- 实施科学 实施科学
- 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:
- 甲和布普伦诺芬是治疗阿片类药物使用障碍 (OUD) 的有效治疗方法.
- 这些药物在美国医院的使用量显著不足.
- 这种未充分利用阻碍了对OUD的有效患者护理.
研究的目的:
- 探索社区医院中扩大阿片类药物使用障碍 (MOUD) 药物治疗的障碍和促进因素.
- 为国家试验提供有关住院阿片类药物治疗 (HBOT) 实施策略的信息.
主要方法:
- 对12家社区医院的57名医疗保健专业人员进行了半结构化采访.
- 利用有目的和雪球采样来招募参与OUD住院护理的参与者.
- 采用了由实施研究综合框架 (CFIR) 组织的专题分析.
主要成果:
- 确定了内部环境 (如组织文化,资源,IT基础设施) 和外部环境 (如政策,融资) 中的主要障碍和促进者.
- 突出的内部设置因素包括变革的紧张,兼容性,资源,文化,知识获取和沟通.
- 外部设置因素包括政策,法律,融资和伙伴关系.
结论:
- 针对医院的具体策略,解决员工知识和态度等障碍,可以改善HBOT的采用.
- 国家政策的变化,包括增加资金和对质量指标的公开报告,对于更广泛的HBOT实施至关重要.
- 解决已识别的障碍可以加强医院阿片类药物治疗模式的采用.
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