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我们开车去月球:通过同行运输确保肯塔基州农村地区的甲获取
Amanda Fallin-Bennett1, Trevor Moffitt, Sharon L Walsh
1From the University of Kentucky College of Nursing, Lexington, KY (AF-B); University of Kentucky Substance Use Priority Research Area, Lexington, KY (TM, JM); Department of Behavioral Science, University of Kentucky College of Medicine, Center on Drug and Alcohol Research, Lexington, KY (SLW, ML); Center on Drug and Alcohol Research, University of Kentucky College of Medicine, Lexington, KY (SLW, ML, LCF); Voices of Hope-Lexington, Lexington, KY (CU, KC); and Department of Medicine, University of Kentucky College of Medicine, Lexington, KY (LCF).
农村地区对阿片类药物使用障碍的甲治疗的运输障碍是由同行驾驶员计划解决的. 这种创新解决方案改善了对阿片类药物使用障碍治疗的药物获取和康复服务的机会.
科学领域:
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
- 农村卫生 农村卫生
背景情况:
- 甲是阿片类药物使用障碍 (OUD) 的关键治疗方法.
- 联邦法规将甲的发行限制在获得许可的阿片类药物治疗计划 (OTP) 上.
- 到达OTP的交通对农村居民来说是一个很大的障碍,与城市同行相比,距离更远.
研究的目的:
- 评估一项旨在克服OUD治疗的农村居民交通障碍的同行运输计划.
- 评估利用同行驾驶员为阿片类药物使用障碍药物预约和康复服务的可行性和影响.
主要方法:
- 治愈社区研究 (HCS) 与希望之声合作,在2021年6月至2022年12月的8个肯塔基州农村县实施同行运输计划.
- 同行司机,正在康复的个人,为197名参与者提供了运输,用于药物治疗阿片类药物使用障碍预约和康复服务.
- 收集了关于参与者数量,运输里程和目的地的数据,包括专注于麦迪逊县农村的一个OTP.
主要成果:
- 同龄驾驶员运送了197名参与者,共计232,700英里.
- 大多数运输 (78.5%) 是到一个单一的OTP在农村麦迪逊县,KY.
- 同行司机表现出比传统运输更大的灵活性和更广泛的范围,包括到达非常规的地点和建立关系.
结论:
- 以同行为基础的运输计划提供了一种创新和有效的解决方案,以改善农村地区使用阿片类药物治疗障碍的药物获取.
- 该模型解决了关键的运输需求,提高了治疗和康复支持服务的保留率.
- 实施类似的同行驱动的倡议可以克服成治疗中的地理和后勤挑战.
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