在初级保健中对阿片类药物使用障碍服务的药物多阶段实施的评估
Sarah Lawson1, Allie Hamilton1, Jordan Lazarus1
1Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Substance use & misuse
|May 6, 2025
概括
将药物治疗阿片类药物使用障碍 (MOUD) 整合到初级保健中,需要克服障碍. 虽然提供者的意图没有改变,但MOUD服务的运营显著增加了患者的访问和满意度.
科学领域:
- 成 药物 药物 药物 药物
- 主要护理是指初级护理.
- 公共卫生 公共卫生
背景情况:
- 尽管药物治疗阿片类药物使用障碍 (MOUD) 有效,但获得药物治疗的机会有限.
- 初级保健机构对于扩大MOUD服务至关重要.
- 本研究详细介绍了将MOUD整合到大型城市初级保健实践中的努力.
研究的目的:
- 在初级保健实践中描述MOUD服务的实施.
- 评估提供者教育和服务实施战略的有效性.
- 识别阻碍和促进MOUD在初级保健中的整合障碍和促进者.
主要方法:
- 一种两阶段的方法,涉及提供者教育 (X豁免认证,内部培训) 和服务实施,持续2.5年.
- 使用RE-AIM模型进行评估.
- 数据收集包括提供者调查,医疗记录审查,提供者焦点小组和患者访谈.
主要成果:
- 提供者对MOUD处方的意图并没有增加培训后.
- 致力于MOUD的临床时间的运行导致了治疗MOUD患者的提供者数量的大幅增加.
- 患者报告MOUD服务的障碍较低,无耻感,有效.
结论:
- 将MOUD整合到初级保健中需要反复努力来解决具体实践障碍.
- 为有效的跨学科协调和高质量的MOUD服务提供,对整个初级保健团队进行全面培训至关重要.
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