对酒精和阿片类药物使用障碍的药物接收:服务利用模式的重要性
Kara M K Bensley1, Katherine J Karriker-Jaffe2, Joanne Delk3
1Alcohol Research Group, Public Health Institute, 6001 Shellmound St #450, Emeryville, CA, 94608, USA. kbensley@arg.org.
治疗酒精使用障碍 (MAUD) 和阿片类药物使用障碍 (MOUD) 的药物未得到充分利用. 通过了解治疗环境如何影响这些疾病的药物接收,可以增加对这些基于证据的治疗方法的访问.
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:
- 对酒精使用障碍 (MAUD) 和阿片类药物使用障碍 (MOUD) 的药物是有效的,但未得到充分利用的治疗方法.
- 了解治疗设置模式对于改善获得这些基于证据的治疗方法至关重要.
研究的目的:
- 调查治疗场所利用率与接受MAUD或MOUD之间的关联.
- 识别可能提高这些药物的治疗效果的护理模式.
主要方法:
- 2019年全国毒品使用和健康调查数据的横截面分析.
- 隐藏类分析以确定酒精和阿片类药物治疗的治疗设置利用模式.
- 后勤回归来评估与MAUD/MOUD接收的关联,以混因素进行调整.
主要成果:
- 只有10.9%的酒精治疗患者接受了MAUD; 40.9%的阿片类药物治疗患者接受了MOUD.
- 对MAUD确定了四种不同的治疗设置模式,对MOUD确定了三种.
- 更高的MAUD接收与在多个环境中获得护理有关;MOUD接收与阿片类药物使用严重程度相关.
结论:
- MAUD和MOUD仍然未得到充分利用,这表明需要改进接入策略.
- 根据使用模式和严重程度量身定制治疗途径可以优化药物输送.
- 研究结果强调了增加针对酒精和阿片类药物使用障碍的基于证据的药物获取机会.
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