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紧急部门布普伦诺芬计划:工作人员的担忧和推的实施策略
Olufemi Ajumobi1, Sarah Friedman2, Michelle Granner2
1School of Public Health, University of Nevada, Reno, NV, USA. femiajumobi@gmail.com.
紧急服务部门可以为阿片类药物使用障碍启动布普伦诺芬治疗. 解决医生对协议,患者结果和能力的担忧是增加布普伦诺芬计划吸收的关键.
科学领域:
- 实施科学 实施科学
- 成 药物 药物 药物 药物
- 紧急医疗 紧急医疗
背景情况:
- 紧急诊所 (ED) 是开始治疗阿片类药物使用障碍的布普伦诺芬治疗的合适场所.
- 尽管已证明有效,但布普伦诺芬在EDs的启动是未充分利用的,临床医生参与率低于最佳水平.
- 医院需要数据来规范国家实施ED布诺芬计划.
研究的目的:
- 调查ED提供者对ED中布普伦诺芬计划的担忧.
- 评估ED提供者是否愿意在ED环境中开布伦诺芬处方.
- 确定实施策略,以克服ED布普伦诺芬计划的障碍.
主要方法:
- 根据"实施研究综合框架" (CFIR) 的信息,对11名ED工作人员进行了采访.
- 用六步主题方法分析了成绩单.
- 结果被组织成CFIR领域:内部设置,外部设置,干预特征和个体特征.
主要成果:
- 医生发现EDs适合布普伦诺芬处方,但指出了一些问题.
- 担忧包括信息缺口,ED以外的患者结果,布普伦诺啡的有效性,时间和提供者的能力.
- 缺乏支持,医生经验,以及对阿片类药物戒断的焦虑也被引用.
结论:
- 医生认为ED布普伦诺芬计划是合适的,但有担忧.
- 解决多个层面的实施策略可以增加医生意愿和计划采用率.
- 解决供应商的担忧对于在EDS中成功实施布普伦诺芬计划至关重要.
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