针对非道德性物质使用障碍治疗实践的州级行动:定性研究
Melissa Davoust1, PhiYen Nguyen2, Michael Adelberg3
1RAND Corporation, Boston, MA, United States of America; Department of Health Law, Policy & Management, Boston University School of Public Health, Boston, MA, United States of America.
Journal of substance use and addiction treatment
|December 24, 2024
概括
国家采取措施打击非道德性物质使用障碍 (SUD) 治疗实践,如患者经纪,正在进行中,但往往缺乏资金和跨州协调,以实现完全有效.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 药物使用障碍治疗 药物使用障碍治疗
背景情况:
- 在药物使用障碍 (SUD) 治疗中越来越多地承认不道德的做法,包括患者经纪和欺骗性营销.
- 需要了解州级干预措施及其在解决这些问题的有效性.
研究的目的:
- 描述针对非道德性SUD治疗实践的国家行动.
- 确定影响这些国家一级行动实施的障碍和促进者.
主要方法:
- 质量研究涉及与11个组织的15名关键信息人员进行半结构面试.
- 举报者包括州级和国家级专家,倡导小组和SUD工作组.
主要成果:
- 发现的不道德做法包括患者经纪,欺骗性营销,保险欺诈和有害的恢复住房. 像许可和特遣部队这样的国家行动已经到位,但需要更好的监管和执法.
- 足够的资金和明确的权威对于成功至关重要. 然而,如果没有跨州协调来打击不道德的行为者,仅仅是州一级的行动是不够的.
结论:
- 国家可以从彼此的立法和政策方法中学习,以打击不道德的SUD待遇.
- 额外的资源和州际协调对于州级行动至关重要,以有效打击SUD治疗和康复住房中的不道德做法.
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