美国熟练护理机构对阿片类药物使用障碍患者的接入和护理:政策评论
Shivani Nishar1, Jon Soske2, Rahul Vanjani3
1Department of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, RI, USA.
熟练的护理设施 (SNF) 对于阿片类药物使用障碍 (OUD) 护理至关重要,但面临挑战. 政策变化和投资可以改善对OUD (MOUD) 药物的获取,并减少这些患者的耻辱感.
科学领域:
- 老年医学 老年医学
- 成 药物 药物 药物 药物
- 卫生政策 卫生政策
背景情况:
- 在美国,阿片类药物使用障碍 (OUD) 患者的转诊到熟练护理机构 (SNF) 正在增加.
- 有法律保护,防止基于OUD或其治疗 (MOUD) 的歧视.
- 对于继续或启动MOUD来说,SNF至关重要,特别是老年人过量死亡率上升.
研究的目的:
- 确定政策和实践机会,以解决OUD患者获得SNF护理和MOUD的挑战.
- 为OUD患者提出针对SNF安置和MOUD访问障碍的干预措施.
- 突出需要改善态度和减少医疗保健环境中的耻辱感.
主要方法:
- 政策分析和法律指导的审查.
- 专家评论是基于研究,临床经验和实践经验.
- 关于监管修订和服务提供模式的建议.
主要成果:
- 对42 CFR第8部分的修订可能会允许SNF像医院一样分发甲.
- 拟议的联邦变化可能会取消甲仅通过OTP分发的必要性.
- 投资移动SUD服务和合作伙伴关系可以提高护理准入.
结论:
- SNF必须准备好继续对OUD患者的MOUD.
- 法律命令和道德要求要求对OUD患者提供公平,高质量的SNF护理.
- 解决耻辱和改善同情护理对于有效治疗至关重要.
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