美国农村地区办公室阿片类药物治疗的障碍
Savitha K Satyasi1, Christopher Stewart2, Kaushal Parimi3
1Psychiatry, Freeman Health System, Joplin, USA.
Cureus
|December 12, 2024
概括
包括成本和诊所时间在内的可访问性障碍显著阻碍了农村地区基于药物治疗阿片类药物使用障碍 (OUD) 的治疗. 解决这些问题对于改善患者获得基本护理至关重要.
科学领域:
- 公共卫生 公共卫生
- 农村卫生 农村卫生
- 成 药物 药物 药物 药物
背景情况:
- 阿片类药物危机对美国农村的健康状况产生了重大影响.
- 对阿片类药物使用障碍 (OUD) 的药物辅助治疗 (MAT) 是有效的,但在农村环境中面临着获取挑战.
研究的目的:
- 识别和检查在美国农村地区获得办公室OUD治疗的障碍.
主要方法:
- 在密苏里州农村地区对49名OUD成年人的横截面调查.
- 评估熟悉OUD药物,治疗接入障碍,提供者困难和支持系统.
- 描述性统计和千平方测试用于数据分析.
主要成果:
- 包括成本,保险,诊所时间和运输在内的可访问性障碍 (54%) 是主要的障碍.
- 26%的参与者报告了像耻辱和缺乏支持这样的情绪障碍.
- 可访问性障碍明显超过了情绪障碍,并且报告没有障碍的病例 (p<0.01).
结论:
- 成本,保险,诊所位置和有限的时间是农村OUD治疗的主要障碍.
- 扩大工作时间,远程医疗,交通援助和医生教育等策略至关重要.
- 改善基础设施和支持对于农村环境中的OUD患者至关重要.
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