在专业药物使用治疗计划中,与计划使用阿片类药物使用障碍药物相关的客户和程序级因素:来自链接的行政数据和调查数据的证据
Kenneth A Feder1, Yuzhong Li2, Kathryn N Burke3
1Department of Mental Health, Johns Hopkins University Bloomberg School of Public Health, 615 N Wolfe St, Baltimore, MD 21205, United States of America.
Journal of substance use and addiction treatment
|October 23, 2024
概括
大多数非联邦许可的阿片类药物治疗计划中的患者不会接受治疗阿片类药物使用障碍 (MOUD) 的药物. 解决员工对布普伦诺啡因的态度,改善无保险客户的获取,可以增加MOUD.
科学领域:
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 大多数非联邦授权的阿片类药物治疗计划 (OTP) 的患者不会接受治疗阿片类药物使用障碍 (MOUD) 的药物.
- 了解影响MOUD处方的因素对于改善治疗准入和治疗结果至关重要.
- 专门的药物治疗计划是成治疗领域中一个重要的,但未被充分研究的组成部分.
研究的目的:
- 检查与新泽西州非OTP专业药物治疗计划中计划使用MOUD相关的因素.
- 确定预测MOUD纳入治疗计划的程序级,客户级和程序组合特征.
主要方法:
- 来自81名非OTP项目主管的链接调查数据与阿片类药物使用入院的全州行政记录 (2021年7月至2022年6月).
- 采用多级回归来分析程序因素,客户特征和计划MOUD之间的关联.
- 在非OTP环境中检查了9583例阿片类药物治疗入院病例.
主要成果:
- 在非OTP设置中的阿片类药物治疗入院者中,有41%计划MOUD.
- 项目主任报告说,工作人员对布普伦诺芬疗效/转移以及缺乏物理空间的担忧与计划中的MOUD降低有关.
- 与计划的MOUD积极相关的客户因素包括自我推,失业,30-49岁,海洛因使用和兴奋剂使用.
- 对于非医疗补助保险和黑人/西班牙裔种族/种族,发现了与计划MOUD的负面关联.
- 较高比例的老年客户,海洛因使用者,兴奋剂使用者,以及那些积极寻找工作的人在计划中预测了个人客户更高的计划MOUD.
结论:
- 解决计划人员对布普伦诺啡的态度是增加计划MOUD的潜在策略.
- 改善非医疗补助保险客户的获取和解决计划中的种族/民族差异是必要的.
- 与就业有关的药物获取障碍需要有针对性的干预措施.
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