通过社区护理增加接受阿片类药物的退伍军人获得纳洛的机会
Kaylee Nichols1, Brittany Faley1, Lauren Gonser1
1Kansas City Veterans Affairs Medical Center, Kansas City, Missouri, USA.
Journal of pain & palliative care pharmacotherapy
|October 10, 2024
概括
退伍军人面临更高的阿片类药物过量风险. 堪萨斯市VA医疗中心 (KCVAMC) 的新协议显著增加了社区护理患者的纳洛分发,改善了阿片类药物安全性.
科学领域:
- 公共卫生 公共卫生
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 退伍军人经历过度服用阿片类药物的不成比例高风险.
- 退伍军人卫生管理局 (VHA) 承认纳洛是减轻阿片类药物处方风险的关键策略.
- 堪萨斯市VA医疗中心 (KCVAMC) 社区护理计划中缺乏纳洛分发的标准化过程.
研究的目的:
- 评估通过社区护理接受阿片类药物的退伍军人中纳洛分发率.
- 实施和评估一个质量改善项目,旨在增加有风险的退伍军人获得纳洛的机会.
主要方法:
- 进行了一项质量改进项目,涉及2022年至2023年期间接受社区护理阿片类药物处方的退伍军人.
- 数据收集使用了阿片类药物风险缓解和图表审查的分层工具.
- 用描述性统计数据来分析这些发现.
主要成果:
- 最初,符合条件的退伍军人中只有11% (206人中有22人) 在阿片类药物处方之前的一年内接受了纳洛.
- 随着2023年3月29日实施新的门诊药房协议,该群体的纳洛发行量在年底前增加到67%.
- 这表明风险减缓访问的实质性改善.
结论:
- 扩大纳洛的获取对于通过社区护理接受阿片类药物的退伍军人来说至关重要.
- 实施的门诊药房协议有效地提高了纳洛的发行率.
- 标准化协议对于改善退伍军人阿片类药物处方患者安全至关重要.
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