共同创建的改进目标和战略,用于在初级保健机构中实施SBIRT和MAUD,在辅导员支持的,量身定制的实施研究中
Erin S Kenzie1,2, Tiff Weekley2, Chrystal Barnes2
1OHSU-PSU School of Public Health, Oregon Health & Sciences University, Portland, OR, 97201, USA.
Translational behavioral medicine
|October 22, 2024
概括
在初级保健中实施查,简短干预和转诊治疗 (SBIRT) 和药物辅助治疗酒精使用障碍 (MAUD) 是至关重要的. 与实践辅导员的量身定制方法有助于诊所设定可实现的目标,以更好地治疗酒精使用障碍.
科学领域:
- 实施科学 实施科学
- 主要护理医学 医疗保健
- 药物成治疗 药物成治疗
背景情况:
- 不健康的酒精使用查和治疗在初级保健中未得到充分利用,尽管它们有可能减少发病率和死亡率.
- 查,简短干预和转诊治疗 (SBIRT) 和药物辅助治疗酒精使用障碍 (MAUD) 是基于证据的方法.
- 初级保健机构在有效实施这些干预措施方面面临挑战.
研究的目的:
- 支持在初级保健中实施SBIRT和MAUD.
- 确定诊所和实践促进者之间共同开发的干预实施目标.
- 通过实践便利化探索灵活的实施策略.
主要方法:
- 一个务实的实施研究,涉及三个州的48个临床实践.
- 采用了量身定制的方法,其中促进者和诊所共同确定了实施目标.
- 采用定性方法,包括联系日志,采访,反思和退出采访进行分析.
主要成果:
- 临床,在促进者支持下,确定了SBIRT和MAUD实施的各种目标,包括报告,患者推广和质量改进.
- 实施目标涉及技术方面 (例如,数据跟踪) 和社会方面 (例如,员工培训).
- 开发了一个决策树来总结研究结果,并指导未来的SBIRT实施.
结论:
- 一个由促进者支持的,量身定制的方法使初级保健诊所能够设定各种目标,以改善SBIRT和MAUD的实施.
- 确定优先事项和决策树可以作为未来实施工作的宝贵工具.
- 这一策略有助于将有效的酒精使用障碍治疗纳入初级保健机构.
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