临床医生和实践特征与支持基于办公室的甲有关:来自全国调查的发现
Minhee L Sung1, Anne C Black, Derek Blevins
1From the Pain Research, Informatics, Multimorbidities and Education Center of Innovation, VA Connecticut Healthcare System, West Haven, CT (MLS, ACB); Program in Addiction Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, CT (MLS, DAF, EJE); Section of General Internal Medicine, Yale School of Medicine, New Haven, CT (MLS, ACB, DAF, EJE); Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, NY (DB, FRL); Division on Substance Use Disorders, New York State Psychiatric Institute, New York, NY (DB, FRL); Consortium on Substance Use and Addiction, Social Science Research Institute, Pennsylvania State University, University Park, PA (BFH); College of Education, Pennsylvania State University, University Park, PA (BFH); American Academy of Addiction Psychiatry, East Providence, RI (KC-W); VA Boston Healthcare System, Boston, MA (MAD); Department of Psychiatry, Boston University Medical Center, Boston, MA (MAD); Addiction Technology Transfer Center Network Coordinating Office, University of Missouri, Kansas City, Kansas City, MO (HH); Division of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA (PJJ); Center for Health Enhancement Systems Studies, University of Wisconsin, Madison, WI (TM); Department of Emergency Medicine, Yale School of Medicine, New Haven, CT & Yale School of Public Health, New Haven, CT (DAF); Center for Interdisciplinary Research on AIDS, Yale School of Public Health, New Haven, CT (EJE).
少数临床医生支持办公室的甲,这种模式可以改善获得阿片类药物使用障碍治疗的机会. 需要进一步努力来解决实施这种治疗交付模式的障碍.
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:
- 甲输送的替代模型可能会提高对阿片类药物使用障碍 (OUD) 治疗的准入.
- 了解临床医生的观点对于扩大基于药物的OUD治疗选择至关重要.
- 以办公室为基础的美沙为传统阿片类药物治疗计划提供了潜在的替代方案.
研究的目的:
- 确定与临床医生支持持续办公室基的甲输送相关的因素.
- 确定影响替代甲模型支持的临床医生和实践特征.
- 为改善对阿片类药物使用障碍药物获取的策略提供信息.
主要方法:
- 对提供门诊OUD治疗的X豁免临床医生进行了调查 (2020年7月至8月).
- 这项研究分析了疫情后继续在办公室使用甲的支持.
- 顺序的多变量后勤回归模拟了临床医生/实践因素和对办公室甲的支持之间的关联.
主要成果:
- 28%的符合条件的临床医生支持办公室的甲.
- 支持与黑人或非裔美国人,超过15年的MOUD经验以及每月治疗更多患者有关.
- 以前提供美沙和在学术医疗中心工作也与支持增加有关.
结论:
- 少数接受调查的临床医生支持办公室的甲.
- 需要解决办公室甲的实施障碍,以扩大获取.
- 进一步的研究应该探索提高临床医生接受替代甲输送模型的策略.
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