加拿大实施更安全供应试点计划的障碍和促进因素:对服务提供商观点的定性评估
Frishta Nafeh1,2, Lucas Martignetti1, Carol Strike2
1Centre On Drug Policy Evaluation, MAP Centre for Urban Health Solutions, St. Michael's Hospital, Toronto, ON, Canada.
Harm reduction journal
|April 28, 2025
概括
加拿大的更安全的供应计划面临实施障碍,如政策问题和资金不稳定,尽管有像以客户为中心的护理这样的促进者. 未来的项目需要基于证据的规划和更好的客户结果监测.
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
- 成 药物 药物 药物 药物
背景情况:
- 加拿大面临着由芬太尼驱动的药物毒性危机.
- 安全供应计划提供药品级药物,以减轻风险.
- 本研究探讨了综合安全供应试点计划 (ISSPP) 的障碍和促进因素.
研究的目的:
- 确定影响加拿大ISSPP实施的因素.
- 了解在提供更安全的供应干预方面面临的挑战和成功.
- 为未来更安全的供应计划和政策制定提供信息.
主要方法:
- 使用半结构面试进行的定性研究 (2022年3月 - 2023年5月).
- 来自加拿大三个省的十个ISSPP的关键信息人员.
- 以实施研究综合框架 (CFIR) 为指导的分析和专题分析.
主要成果:
- 在服务,资格和药物选择方面,ISSPP有所不同.
- 关键促进者:低障碍,以客户为中心的模型,需求评估,包裹护理,合作伙伴关系,社区参与,临床协议和多学科团队.
- 主要障碍:不稳定的药物供应,复杂的政策,不可持续的资金,监管问题,有限的药物,空间和人员短缺.
结论:
- 尽管有内部促进者,但ISSPP的实施受到外部和政策层面的障碍所阻碍.
- 未来的计划需要基于证据的规划和实施,从减少危害的成功中学习.
- 利用基于证据的指导方针和结果监测等促进者可以改善护理并减轻伤害.
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