对布普伦诺芬处方和以前的豁免培训的态度障碍
Michael P Gannon1, Monique Tello2, Sarah Wakeman3
1Division of General Internal Medicine, Brigham and Women's Hospital, Boston, Massachusetts.
Journal of opioid management
|September 25, 2024
概括
尽管政策发生了变化,但许多初级保健提供者 (PCP) 仍然面临对阿片类药物使用障碍 (OUD) 处方布普伦诺芬的障碍. 态度障碍,例如对患者数量和实践整合的担忧,是干预的关键目标.
科学领域:
- 成 药物 药物 药物 药物
- 主要护理实践的初级护理实践
- 公共卫生政策 公共卫生政策
背景情况:
- 阿片类药物使用障碍 (OUD) 是一个重要的公共卫生问题,可以通过布普伦诺啡维持有效管理.
- 最近的联邦政策变化消除了对DEA豁免培训的需要,以处方布普伦诺啡.
- 尽管政策发生了转变,但初级保健提供者 (PCP) 完成了布诺芬豁免培训的差距仍然存在.
研究的目的:
- 为了确定PCP在OUD处方布普伦诺芬方面面临的持续障碍,即使在立法变化之后.
- 了解影响PCP采用布普伦诺芬处方用于OUD治疗的因素.
主要方法:
- 在两个学术医疗中心对662名医生和护士进行了调查.
- 100名PCP回应了匿名在线调查,评估了培训状态,OUD患病率,治疗有效性和障碍.
- 描述性统计和物流回归被用于数据分析.
主要成果:
- 15%的应答率,69%的受访者没有完成布普伦诺芬豁免培训.
- 99%的PCP承认OUD是一个局部问题,94%的治疗OUD患者.
- 不被豁免的PCP表示患者数量不足以及对将OUD患者纳入其实践的担忧是障碍.
结论:
- 没有豁免的PCP承认OUD的流行,但表达了对处方布普伦诺芬的态度障碍.
- 尽管政策发生了变化,但对患者数量和实践整合的担忧仍然存在.
- 干预措施应侧重于解决这些态度障碍,以增加PCP中的布普伦诺芬处方.
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