野外护理中阿片类药物和酒精使用障碍药物的可用性:国家估计和潜在的政策杆
Alisa B Busch1,2,3, Sharon-Lise T Normand3,4, Constance M Horgan5
1McLean Hospital, Belmont, MA 02478, USA.
Health affairs scholar
|April 10, 2025
概括
治疗阿片类药物和酒精使用障碍的药物在治疗计划中使用不足. 政策变化和国家认证可能会增加对这些基于证据的复发预防疗法的获取.
科学领域:
- 成 药物 药物 药物 药物
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
背景情况:
- 治疗阿片类药物和酒精使用障碍的药物 (MOUD/MAUD) 对于预防复发是有效的,但未得到充分利用.
- 许多物质使用障碍 (SUD) 治疗方案不提供这些必需的药物.
研究的目的:
- 确定与在门诊SUD和心理健康/SUD项目中提供MOUD/MAUD相关的程序特征.
- 检查国家许可/认证和国家认证在MOUD/MAUD提供中的作用.
- 为政策提供信息,以增加获得基于证据的SUD治疗的机会.
主要方法:
- 分析2022年全国物质使用和心理健康服务调查 (N-SUMHSS) 数据.
- 包括9,921个门诊计划,主要提供SUD或综合精神卫生/SUD服务.
- 统计检查程序特征,包括国家许可和国家认证,与MOUD/MAUD提供相关.
主要成果:
- 只有51%的课程提供MOUD,45%提供MAUD.
- 国家许可/认证与提供MOUD/MAUD负面相关,而国家认证与提供MOUD/MAUD积极相关.
- 药物使用障碍项目不太可能提供MOUD/MAUD,而不是提供心理健康服务的项目.
结论:
- 显著的政策机会存在于增加MOUD/MAUD在SUD治疗中的访问.
- 国家认证可能会促进基于证据的药物的使用,而国家许可可能会阻碍使用.
- 将MOUD/MAUD整合到标准SUD护理中需要战略政策和认证调整.
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