与增加吸食物质使用障碍治疗相关的医生互动
Abigail M Smurzynski1, Jeffrey R Gardere1, Olalekan Ogunsakin2
1Behavioral Health, Touro College of Osteopathic Medicine, New York, USA.
Cureus
|February 5, 2025
概括
对药物使用障碍 (SUD) 治疗的个性化医生讨论显著增加了患者的参与度. 提供关于戒烟策略和治疗选择的信息,而不是仅仅询问使用情况,可以改善寻求治疗的行为.
科学领域:
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
- 医疗保健服务研究 医疗服务研究
背景情况:
- 药物使用障碍 (SUD) 影响着数以百万计的人,但寻求治疗的数量仍然很低,在2020年,只有10%的人获得了护理.
- 了解影响治疗参与的因素对于改善公共卫生结果至关重要.
- 医生互动是连接个人与必要的SUD服务的关键机会.
研究的目的:
- 检查与接受SUD治疗相关的特征和因素.
- 为了研究不同类型的医生互动和SUD治疗接收之间的关系.
- 确定可能增强患者参与SUD护理的沟通策略.
主要方法:
- 2020年全国毒品使用和健康调查 (NSDUH) 数据的回顾性分析.
- 分析的重点是患有酒精或非法药物使用障碍的个体.
- 奇平方分析和赔率比率评估了医生互动与SUD治疗接收之间的关联.
主要成果:
- 传统的医生询问物质使用频率/数量与接受治疗没有显著联系.
- 个性化的医生互动,例如询问饮酒问题或建议减少饮酒,显著增加了治疗的几率.
- 医生提供有关酒精治疗的信息使2020年接受治疗的几率增加了四倍 (OR:4.84),并使终身几率增加了三倍 (OR:3.20).
结论:
- 个性化和信息化的医生沟通在促进寻求SUD治疗方面比一般询问更有效.
- 提供有关治疗选择和戒烟策略的具体信息与更高的护理参与率密切相关.
- 医疗保健提供者可以通过量身定制的患者对话,在增加SUD治疗利用率方面发挥重要作用.
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