在接受VA和社区护理的退伍军人中,指南一致的阿片类药物治疗
Phillip Ma1,2, Yan Cheng1,2, Joseph L Goulet1,3,4
1Washington DC VA Medical Center, Washington, DC, USA.
BMC health services research
|October 25, 2024
概括
在只使用VA服务或VA和社区护理的退伍军人中,指导方针一致的阿片类药物治疗遵守率很高. 然而,在开始时进行尿液药物查是很少遵循的建议.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 阿片类药物危机管理管理
- 退伍军人卫生管理局 (VA) 研究 研究 研究
背景情况:
- 符合指南的阿片类药物治疗对于解决阿片类药物危机至关重要.
- 了解专门使用VA服务的退伍军人以及使用双系统护理的退伍军人的护理模式至关重要.
研究的目的:
- 为了比较仅使用VA服务 (单用户) 和使用VA和社区护理 (双系统用户) 的退伍军人之间的指导方针一致护理率.
- 为了确定这两个退伍军人群体之间的具体准则遵守差异.
主要方法:
- 来自华盛顿特区和巴尔的摩VA医疗中心 (2015-2019) 电子健康记录数据的分析.
- 用描述性统计数据和概括估计方程来比较单用户和双系统用户.
- 对人口统计因素和并发症条件进行控制的模型.
主要成果:
- 在两组中,总体指南一致的护理率都很高 (大多数建议的遵守率高于90%).
- 开始时的尿液药物查是最不遵守指南的 (8.9%的单一使用者,11.2%的双重使用者).
- 在单用户和双系统用户之间没有观察到更高的坚持一致的模式,尽管从2015年到2019年,总体一致性增加了.
结论:
- 退伍军人表现出高度遵守大多数阿片类药物治疗指南,无论医疗保健系统的使用情况如何.
- 具体的建议,如尿液药物查,需要改进实施.
- 需要进一步研究双系统用户协调和其他指导方针建议.
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