识别提供商对实施阿片类药物减害方法的障碍:初步叙述审查
Stacie A Dee1, Ketrice-Ann Delonnay1, Destiny Bernard1
1Hofstra University, Hempstead, NY, USA.
Inquiry : a journal of medical care organization, provision and financing
|September 24, 2024
概括
医疗保健提供者在实施阿片类药物危害降低方面面临障碍. 主要障碍包括耻辱,教育不足和资源有限,阻碍有效的公共卫生干预.
科学领域:
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
- 医疗保健政策 医疗保健政策
背景情况:
- 美国面临严重的阿片类药物流行,在2021年有超过8万人死亡,这凸显了以刑事犯罪为中心的方法的局限性.
- 对阿片类药物使用障碍患者而言,减伤策略已被证明是有效的,但医疗保健提供者广泛采用这些策略是有限的.
- 在医疗保健专业人员普遍实施基于证据的减伤方法方面存在重大差距.
研究的目的:
- 确定医疗保健提供者在为患有或没有阿片类药物使用障碍的成年人实施基于证据的减伤方法时遇到的障碍.
- 评估目前在采用阿片类药物减伤策略方面面临的供应商特定挑战.
- 为改进减少危害的准入提供信息,为有针对性的干预和政策制定提供信息.
主要方法:
- 在多个数据库中进行了文献搜索,使用关键词,如"医疗保健提供者"",减少危害"",纳洛"",布普伦诺芬-纳洛诱导"",耻辱感"和"障碍".
- 纳入标准侧重于研究,确定在阿片类药物使用背景下,医疗保健提供者所面临的具体障碍.
- 使用叙事审查方法来综合从选定的文献中发现的结果.
主要成果:
- 确定了阻碍提供商实施降低危害的三个主要障碍:与阿片类药物使用障碍相关的普遍耻辱.
- 医疗服务提供者缺乏全面的教育和知识,这些知识与减少危害的原则和实践有关.
- 无法获得足够的资源和支持系统,以长期管理正在接受降低伤害治疗的患者.
结论:
- 解决提供者层面的障碍对于成功和广泛实施阿片类药物减害战略至关重要.
- 针对性的干预措施,重点是减少耻辱感,加强教育和改善资源可访问性,可以克服当前的障碍.
- 识别和减轻这些障碍将有助于采用有效的减少危害的方法,最终改善患者的治疗结果和公共卫生.
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