排毒后患者导航的附带效应:逮捕人数减少
Robert Rosenman1, Carolyn Noonan1, Clemma Muller1
1The Institute for Research and Education to Advance Community Health, Elson S. Floyd College of Medicine, Washington State University, Seattle, WA, USA.
概括
患者导航 (PN) 结合动机面试 (MI) 并没有改善解毒患者的医疗保健过渡. 然而,PN可能会减少这种高风险人群中随后的逮捕.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 药物滥用 治疗 药物滥用 治疗
背景情况:
- 患者导航 (PN) 帮助个人克服医疗保健准入障碍.
- 动机面试 (MI) 用于支持患者的行为变化.
- 将患者从排毒 (排毒) 过渡到后续护理是具有挑战性的.
研究的目的:
- 评估PN添加到MI是否可以改善脱毒过渡率.
- 评估PN加MI是否会降低随后的排毒再入院,与MI单独相比.
- 探索PN对刑事司法参与后排毒的影响.
主要方法:
- 一个随机试验比较PN + MI与MI单独的排毒患者.
- 主要结果:转移到护理和排毒再录取率.
- 二次/探索性结果:逮捕率和刑事司法参与.
主要成果:
- 两组之间没有过渡率或解毒再接收的显著差异.
- 接受PN治疗的患者在出院后的一年内出现了较少逮捕的趋势.
- PN组的多次逮捕较少,平均每人逮捕人数较少.
结论:
- 添加到MI的PN并没有显著改善医疗保健过渡或减少从排毒中重新入院的情况.
- 探索性发现表明,PN可能会减少个人在解毒后的逮捕.
- PN可能是一个具有成本效益的策略,以减少刑事司法参与这一群体,保证进一步的研究.
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