对患有阿片类药物使用障碍的围产期患者的服务:巴尔的摩市全面的2023年评估
Jessica A Ratner1, Jennifer H Kirschner2, Brittney Spencer2
1Division of Addiction Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA. jratner1@jh.edu.
Addiction science & clinical practice
|October 15, 2024
概括
孕产妇死亡率与过量服用有关. 这项研究对巴尔的摩的提供者进行了调查,以了解围产性物质使用障碍 (SUD) 的治疗差距. 结果指导系统改进,以更好地支持怀孕和产后患有阿片类药物使用障碍 (OUD) 的孕妇.
科学领域:
- 围产期健康 围产期健康
- 药物使用障碍治疗 药物使用障碍治疗
- 减少孕产妇死亡率 减少孕产妇死亡率
背景情况:
- 过量服用是孕产妇死亡的一个重要原因.
- 建议包括加强SUD查和提高产科和SUD提供者之间的合作.
- 系统的碎片化构成了护理SUD围产期患者的障碍.
研究的目的:
- 为了分析马里兰州巴尔的摩的产周SUD治疗景观.
- 为了确定在怀孕期间和产后治疗参与的障碍.
- 引导对围产期SUD护理的系统改进工作.
主要方法:
- 在巴尔的摩 (145家分娩医院,产前护理实践和SUD治疗提供商) 进行的调查 (2023年4月至6月).
- 组织量化了对患有阿片类药物使用障碍 (OUD) 的围产期患者的护理.
- 收集关于查,服务可用性,转诊实践和支持需求的数据.
主要成果:
- 61%的组织作出回应;分娩医院报告了更高的OUD护理频率.
- 大多数医院/诊所对OUD进行了查,但很少使用经过验证的工具;服务的可用性各不相同.
- 对伴随性酒精/二二胺使用障碍的限制性戒断管理;很少有计划提供量身定制的产周服务或允许儿童在现场.
结论:
- 提供了美国主要城市围产期OUD治疗服务的全面概述.
- 结果为正在进行的全市系统改进计划提供了信息.
- 为其他司法管辖区提供了一种模式,以加强围产期OUD服务并减少孕产妇死亡率.
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