反应:一个移动的多学科反应过量服用
Alexander J Ulintz1, Rebecca J McCloskey2, Gretchen Clark Hammond2
1Department of Emergency Medicine, The Ohio State University College of Medicine, Columbus, OH, USA.
Journal of community safety & well-being
|October 2, 2024
概括
移动外展团队迅速将阿片类药物过量服用后的个人与至关重要的减伤和恢复服务联系起来. 这种方法显著增加了获得治疗和支持的机会,改善了患者的治疗结果和社区福祉.
科学领域:
- 公共卫生 公共卫生
- 紧急医疗 紧急医疗
- 药物成科学 药物成科学
背景情况:
- 在美国,阿片类药物过量是严重的公共卫生问题,在将患者与过量后的护理联系起来方面存在挑战.
- 包括快速反应团队在内的移动综合健康计划提供了一个有希望的解决方案,但需要进一步研究.
研究的目的:
- 评估多学科移动外展小组 (RREACT) 对经历非致命阿片类药物过量的人的五年范围,有效性,采用,实施和维护 (RE-AIM).
- 证明火灾/EMS领导团队在提供减少伤害和恢复资源方面的影响.
主要方法:
- 快速应对紧急成和危机小组 (RREACT) 使用多学科方法 (消防员/护理人员,执法人员,社会工作者) 快速推广.
- 从2018-2022年收集的数据包括外展尝试,患者接触和与护理的联系 (治疗运输和温暖的移交).
- 应用了RE-AIM框架来评估计划的维度,包括人员增加和社区参与.
主要成果:
- RREACT对11,739名独特的患者进行了22,157次外展尝试,有3,194人直接接触.
- 成功促进了1200个与护理的联系,包括799个直接运输到阿片类药物使用障碍治疗和401个温暖的交付.
- 计划显著扩大,员工从4人增加到15.5名FTEs,得到社区外展和校友计划的支持.
结论:
- 像RREACT这样的多学科移动外展团队有效地增加了个人在阿片类药物过量后获得减少伤害和恢复资源的机会.
- RREACT模型展示了成功的实施和可扩展性,支持更广泛地采用类似的程序.
- 持续支持和扩大这些移动危机小组对于解决阿片类药物危机至关重要.
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