与监狱合作,为阿片类药物使用障碍提供社区医疗:MOUD治疗提供者的定性观点
Ekaterina Pivovarova1, Bianca Y Planas Garcia, Peter D Friedmann
1From the Department of Family Medicine and Community Health, University of Massachusetts Chan Medical School, Worcester, MA (EP); University of Puerto Rico Medical Sciences Campus, San Juan, Puerto Rico (BYPG); Baystate Health and University of Massachusetts Chan Medical School-Baystate, Springfield, MA (PDF), Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Worcester, MA (PDF); Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston, MA (TJS); Institute for Health Equity and Social Justice Research, Northeastern University, Boston, MA (CS); and Department of Health Promotion and Policy, School of Public Health and Health Sciences, University of Massachusetts Amherst, Amherst, MA (EAE).
社区提供者可以通过评估内部能力和促进机构间伙伴关系,改善与提供治疗阿片类药物使用障碍 (MOUD) 药物的监狱的合作. 解决碎片化和文化差异是维持护理连续性的关键.
科学领域:
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
- 刑事司法 卫生 刑事司法 卫生
背景情况:
- 癌症机构越来越多地为阿片类药物使用障碍 (MOUD) 提供药物.
- 社区提供者必须与惩戒机构合作,以便在释放后继续治疗.
- 关于MOUD提供者与监狱之间的有效协作策略的研究有限.
研究的目的:
- 探索MOUD提供商在与提供MOUD的监狱合作方面的观点.
- 确定促进机构间合作的促进者和障碍,以确保MOUD的连续性.
主要方法:
- 这项定性研究涉及来自18个社区机构的36名MOUD提供者.
- 根据探索,准备,实施和维持 (EPIS) 框架指导的一小时的采访.
- 分析数据以确定影响合作的因素.
主要成果:
- 促进者包括内部机构因素 (人员,适应性文化) 和外部支持 (社区认可,监狱工作人员培训).
- 有效的沟通策略包括定期会议和专门的联系.
- 障碍包括在监狱中的分散服务和多个医疗保健承包商,使重新入境协调复杂化.
- 跨越文化和结构差异建立跨机构伙伴关系对于持续的合作至关重要.
结论:
- 关于合作的建议包括评估机构内部条件和利用外部社区支持.
- 持续的参与和有意的伙伴关系发展至关重要.
- 机构间的差异可以被导航,为MOUD的连续性创造互利关系.
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