在实践中比较减少伤害的自动售货机和面对面的过量预防服务:罗德岛的一个案例研究
Leah C Shaw1, Erin A Brown, Emma Creegan
1Author Affiliations: Department of Epidemiology, School of Public Health, Brown University, Providence, Rhode Island (Ms Shaw, Ms Park, and Dr Marshall); Rhode Island Department of Health, Center for HIV, Hepatitis, STD, and TB Epidemiology, Providence, Rhode Island (Ms Brown, Ms Creegan, Mr Bertrand, and Dr Chan); Rhode Island Department of Health, Center for Health Equity, Providence, Rhode Island (Ms Ogundare); Departments of Medicine and Pediatrics, Warren Alpert School of Medicine, Brown University, Providence, Rhode Island (Dr Berk); Department of Medicine, Warren Alpert School of Medicine, Brown University, Providence, Rhode Island (Dr Chan); and Department of Behavioral and Social Sciences, School of Public Health, Brown University, Providence, Rhode Island (Dr Chan).
减少伤害的自动售货机 (HRVMs) 提供24 / 7获得必需物资,补充阿片类药物流行病的面对面服务. 这项研究表明,HRVM是一种可行且有效的减少危害策略.
科学领域:
- 公共卫生 公共卫生
- 药物使用障碍治疗 药物使用障碍治疗
- 医疗保健服务研究 医疗服务研究
背景情况:
- 阿片类药物流行需要创新的降低伤害策略.
- 现有的面对面服务面临着可访问性和覆盖范围的限制.
- 减少伤害的自动售货机 (HRVM) 提供了一种新的方法来分发必需品.
研究的目的:
- 评估罗德岛州在全州范围内实施HRVM的情况.
- 将HRVM服务与现有的个人伤害减轻服务进行比较.
- 评估HRVM作为传统服务的补充的可行性和有效性.
主要方法:
- 一个为期两年的数据分析 (2022年1月至2023年12月) 面对面减少伤害的遭遇和一个HRVM试点计划.
- 服务的独特人群,遭遇类型,分发的产品和交易时间 (周日与周末,白天与夜间) 的比较.
- 收集的数据包括社会人口统计数据,地理位置和两种服务类型的产品.
主要成果:
- 超过15,000个人访问服务;HRVM用户平均年轻.
- 周末,HRVMs为28%的遭遇提供了便利,而29%的遭遇是在晚上/早上.
- 更安全的注射套件是HRVM (89%) 提供的主要产品,而面对面的服务也提供了基本需求.
结论:
- 减少危害的自动售货机 (HRVM) 是一种可行的方法来分发减少危害的用品.
- 人力资源维护机制有效地补充了现有的个人伤害减轻服务.
- 全天候可访问性是成功实施HRVM的关键特征.
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