在非医院住院项目中使用布普伦诺芬
Cynthia Nichols1, Daniel Baslock2, Margaret Lloyd Sieger3
1School of Social Work, University of Connecticut, Hartford, CT, United States.
Drug and alcohol dependence
|October 6, 2024
概括
长期住院成治疗计划可能会限制对布普伦诺啡的获取. 然而,接受公共保险增加了这些长期物质使用障碍计划中的布普伦诺啡的可用性.
科学领域:
- 成 药物 药物 药物 药物
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 布普伦诺芬是治疗阿片类药物使用障碍的关键药物.
- 非医院住院项目对于药物使用障碍治疗至关重要.
- 了解住院环境中的布普伦诺芬可访问性对于患者护理至关重要.
研究的目的:
- 调查在非医院住院物质使用障碍治疗计划中布普伦诺芬的可用性.
- 检查影响这些设施中布普伦诺芬接受和处方的因素.
主要方法:
- 分析了2021年全国物质使用和心理健康服务调查 (n=3654) 的数据.
- 后勤回归以评估基于住宅服务类型 (排毒,短期,长期) 的布普伦诺芬可用性.
- 检查公共保险和长期服务类型在布普伦诺芬可用性上的相互作用.
主要成果:
- 长期住院计划显示,布普伦诺芬可用性的几率降低 (OR=0.288).
- 提供长期护理和接受公共保险的计划具有显著更高的布普伦诺芬可用性概率 (OR=4.586).
结论:
- 对于需要更长时间治疗的患者,可能存在布普伦诺芬获取障碍.
- 接受公共保险可以减轻这些障碍,增加长期住院计划中的布普伦诺啡的可用性.
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