通过远程医疗使用住院成咨询服务来改善药物治疗的启动:一项观察性研究
Huiqiong Deng1, Mastaneh Nikravesh1, Amer Raheemullah1
1Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA.
Journal of telemedicine and telecare
|March 17, 2025
概括
远程医疗成咨询服务 (ACS) 对住院患者的酒精使用障碍 (AUD) 和阿片类药物使用障碍 (OUD) 的药物开始显著增加. 这证明了远程医疗.
科学领域:
- 成 药物 药物 药物 药物
- 数字健康数字健康
- 公共卫生 公共卫生
背景情况:
- COVID-19 流行病加剧了管理物质使用障碍的困难.
- 患有酒精使用障碍 (AUD) 和阿片类药物使用障碍 (OUD) 的住院患者经常面临进入成护理的障碍.
- 现有的成咨询服务 (ACS) 在疫情期间面临着提供及时干预的挑战.
研究的目的:
- 通过成咨询服务 (ACS) 评估远程医疗对AUD和OUD药物启动的影响.
- 为了比较面对面和远程医疗ACS咨询对药物开始率的有效性.
- 评估远程医疗在扩大获得成治疗的作用.
主要方法:
- 对接受ACS咨询的成年患者的回顾性分析 (面对面的流行前,流行期间的远程医疗).
- 在ACS咨询之前和之后,对AUD和OUD的药物开始率的比较.
- 分析了来自398次面对面和473次远程医疗咨询的数据.
主要成果:
- 远程医疗 ACS 咨询显著增加了 AUD 药物治疗的开始率,从 5.16% 增加到 66.20%.
- 远程医疗ACS咨询显著增加了OUD药物治疗的开始,从7.53%增加到67.74%.
- 布普伦诺芬和纳尔特雷是最常见的OUD和AUD药物,分别是最常用的药物.
结论:
- 基于医院的远程医疗ACS有效地提高了AUD和OUD的药物开始率.
- 在大流行期间,ACS采用远程医疗的做法在维持和改善对成服务的访问方面取得了成功.
- 远程医疗提供了一种可扩展的解决方案,以解决成提供者短缺问题,并接触到服务不足的人群.
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