评估提供者对阿片类药物治疗计划中的应急管理忠实性的报告
Elizabeth Casline1, Kelli Scott1, Cara M Murphy2
1Institute for Public Health and Medicine, Center for Dissemination and Implementation Science, Northwestern University Feinberg School of Medicine, 633 N. St Clair, Chicago, IL 60611, USA.
Drug and alcohol dependence
|January 8, 2025
概括
提供者自我报告可以监测客观实践的应急管理 (CM) 忠实性,但可能会错过成治疗中的细微差别. 为了全面的忠实性监测,需要进一步的研究.
科学领域:
- 药物成治疗 药物成治疗
- 实施科学 实施科学
- 医疗保健管理的管理
背景情况:
- 应急管理 (CM) 越来越多地用于成治疗.
- 确保干预忠实对于患者的结果至关重要,但资源密集.
- 开发高效的忠实性监测方法对于医疗保健系统至关重要.
研究的目的:
- 评估供应商自我报告的可行性,以监测CM忠实度.
- 为了比较提供者自我报告的忠诚度评级与传统的观察者评级.
- 发现提供者和观察者之间CM忠实性报告中的差异.
主要方法:
- 在混合试验中利用了28个阿片类药物治疗计划的数据.
- 收集了3143个CM会议的提供者自我报告.
- 在72个会议中进行了观察员评级,使用CM竞争力表来评估协议.
主要成果:
- 供应商报告大多数CM实践的高保真度.
- 在客观实践方面,提供者和观察者评级之间存在很高的一致性.
- 对于微妙的CM实践,如将CM与恢复目标联系起来,观察到的一致性较低.
结论:
- 提供者自我报告显示了监控CM忠实性的某些方面的潜力.
- 报告细微的CM实践中的差异需要进一步调查.
- 确保一致的CM忠实性交付的最佳方法需要持续研究.
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