一项定性研究探讨了在美国医院内嵌入过量预防站点的可行性和可接受性
Rachel French1, Rachal McFadden2, Margaret Lowenstein3
1University of Pennsylvania School of Nursing, Philadelphia, PA, USA; Leonard Davis Institute of Health Economics, USA.
Journal of substance use and addiction treatment
|January 13, 2025
概括
在美国实施医院的过量预防站点 (OPS) 面临挑战,但提供减少危害的好处. 解决人们对信任,安全和耻辱感的担忧是成功整合和改善吸毒者 (PWUD) 结果的关键.
科学领域:
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
- 医疗保健政策 医疗保健政策
背景情况:
- 基于社区的过量预防站点 (OPS) 减少了使用过量药物的人 (PWUD) 之间的过量死亡和传染病传播.
- 医院集成的OPS在欧洲和加拿大建立,但在美国是非法的.
- 城市地区的高过量剂量率需要探索医院的减少危害策略.
研究的目的:
- 探索在美国医院环境中实施过量预防站点 (OPS) 的可行性和可接受性.
- 确定医院OPS的潜在好处,挑战和利益相关者的观点.
- 为医疗保健中减少伤害服务的未来实施策略提供信息.
主要方法:
- 与28个不同的利益相关者进行了半结构化访谈,包括临床医生,医院领导,安全和PWUD.
- 医院住院的PWUD注射相关内心炎的假设场景被用来引起详细的反应.
- 用主题分析分析分析了定性数据,以确定关键主题和感知.
主要成果:
- 利益相关者认识到OPS的潜在好处,包括减少伤害,改善患者/社区安全,教育和减少耻辱感.
- 在PWUD,工作人员,领导层和社区中,人们对PWUD的可接受性提出了重大担忧,理由是信任,安全,耻辱和制度支持的问题.
- 可行性挑战包括患者资格,药物政策,人员配置和物理位置.
结论:
- 尽管存在政治和文化障碍,但临床教育,反污名化培训和社区参与等策略可以促进对医院OPS的支持.
- 医院OPS可以为住院PWUD提供一个安全的避风港,潜在地减少自我出院和改善治疗坚持.
- 解决多方面的问题对于成功实施至关重要;这项研究为设计和在美国医院和类似环境中运行OPS提供了见解.
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