招募阿片类药物治疗计划管理人员进行全国调查:结果和经验教训
Benjamin R Brady1, Beth E Meyerson2, Alissa Davis3
1Western Michigan University, College of Health and Human Services, 1903W. Michigan Ave., Kalamazoo, MI 49001, USA; University of Arizona College of Medicine-Tucson, Harm Reduction Research Lab, 1501N Campbell Ave, Tucson, AZ 85724, USA; University of Arizona, Comprehensive Center for Pain and Addiction, 1501N Campbell Ave, Tucson, AZ 85724, USA.
The International journal on drug policy
|April 6, 2025
概括
从美国阿片类药物治疗计划 (OTP) 招募管理人员进行研究是具有挑战性的. 尽管付出了巨大的努力,但低于最佳的结果凸显了需要改进的战略,以加强对甲治疗的参与和数据收集.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 获得阿片类药物使用障碍 (OUD) 治疗,特别是甲,在全球和美国是不够的.
- 最近的美国政策变化旨在改善获得基于证据的甲治疗的机会.
- 评估这些变化的实施需要一个全国性的,代表性的阿片类药物治疗计划 (OTPs) 的样本.
研究的目的:
- 报告全国OTP管理员样本招聘工作的结果.
- 评估获取代表性样本的可行性,以评估对美沙治疗准入政策影响.
主要方法:
- 从美国药物滥用和精神卫生服务管理局 (SAMHSA) 的目录中选择了1000名OTP的分层随机样本.
- 分层考虑了州法规和县的阿片类药物过量率;不符合条件的OTP (部落,惩戒,企业) 被排除在外.
- 研究人员试图通过电话联系管理人员,以获取用于研究招聘的电子邮件地址.
主要成果:
- 在885个有资格的OTP中,管理人员在23%的诊所被接触到.
- 在接触到的管理人员中,77%的人同意接受信息,22%的人完成了调查.
- 招聘涉及276.5个呼叫时间,费用为5530美元.
结论:
- 美国OTP管理员的招聘结果尽管采用了严格的抽样框架和大量努力,但仍不够理想.
- 创新策略对于改善OUD治疗研究的管理员招聘至关重要.
- 建议包括更新SAMHSA目录以管理员联系方式,并完善外展方法.
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