在初级保健中实施以患者为中心,快速访问的物质使用治疗途径
Scott Jeansonne1, Alex R Dopp1, Christina Phillips1
1First Choice Community Healthcare, Albuquerque, New Mexico (Jeansonne, Cook); RAND, Santa Monica, California (Dopp, Watkins); Department of Internal Medicine, Health Sciences Center (Phillips, Page), and Center on Alcohol, Substance Use, and Addictions (Brown), University of New Mexico, Albuquerque; Grayken Center for Addiction, Boston Medical Center, Boston (Komaromy).
初级保健诊所可以改善物质使用障碍治疗的准入. 一个新的快速访问远程医疗途径将患者连接到即时护理和持续服务,证明可行和有效.
科学领域:
- 公共卫生 公共卫生
- 医疗保健管理的管理
- 药物使用障碍治疗 药物使用障碍治疗
背景情况:
- 药物使用障碍 (SUDs) 很普遍,但在初级保健机构获得治疗往往是有限的.
- 有效的SUD治疗方法存在,但实施障碍阻碍了社区卫生诊所的广泛采用.
研究的目的:
- 开发和评估质量改善倡议,为SUD治疗服务创建快速访问途径.
- 加强患者在社区卫生诊所内获得及时和持续的SUD护理.
主要方法:
- 采用质量改进方法来设计和实施新的治疗途径.
- 使用"秘密购物者"方法来评估最初的等待时间和访问要求.
- 开发了一种以患者为中心的方法,提供立即的远程医疗预约,然后与持续护理联系.
主要成果:
- 快速获取途径成功实施,治疗获取率高.
- 新的途径被证明是可行的诊所运营和最小的破坏性.
- 立即的远程医疗预约有效地将患者与必要的SUD服务联系起来.
结论:
- 快速访问,以患者为中心的远程医疗途径是改善SUD治疗在初级保健中的可访问性的一种可行的策略.
- 质量改善方法可以有效地解决SUD护理的系统性障碍.
- 该模型展示了可扩展集成到常规诊所工作流程中的潜力.
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