团队合作的经验,以初级保健为基础的输送阿片类药物使用障碍治疗治疗的经验
Elizabeth J Austin1,2, Madeleine J Bentley3, Lori Ferro4
1Department of Health Systems and Population Health, School of Public Health, University of Washington, 3980 15 th Ave NE, 4 th Floor, Box 351621, Seattle, WA, 98195, USA. austie@uw.edu.
The journal of behavioral health services & research
|April 16, 2025
概括
基于团队的护理模式通过增强共享患者知识和加强治疗联盟,改善阿片类药物使用障碍 (OUD) 治疗参与度. 有效的合作需要初级保健提供者 (PCP),行为健康管理者 (BHCMs) 和咨询精神病医疗提供者 (CPPs) 之间的相互尊重和非正式沟通.
科学领域:
- 医疗保健提供 医疗保健提供
- 成 药物 药物 药物 药物
- 实施科学 实施科学
背景情况:
- 基于团队的护理模式对于管理复杂的疾病至关重要,例如同时出现的心理健康和物质使用障碍.
- 了解这些模型在治疗阿片类药物使用障碍 (OUD) 的初级保健机构中的动态是至关重要的.
研究的目的:
- 探索多学科初级保健团队如何在使用协作护理模型 (CoCM) 提供OUD治疗时发挥作用.
- 确定影响团队协作和患者参与OUD护理的因素.
主要方法:
- 与35名初级保健团队成员 (PCP,BHCM,CPP) 在13个不同的美国诊所进行了定性采访.
- 采访被录音,转录,并使用基于关系协调理论的方案进行双重编码.
主要成果:
- 基于团队的工作促进了患者的共享知识,并利用了提供者之间的关系来促进治疗参与.
- 在BHCM和PCP之间非正式的沟通机会加强了合作.
- 团队成员之间的相互尊重被认为是最大限度地提高患者参与度的关键.
结论:
- 在OUD护理中,以团队为基础的模型可以通过增加患者接触和加强治疗联盟来提高患者参与度.
- 优化团队沟通,尊重和非正式互动是成功实施OUD协作护理的关键.
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