扩大加拿大农村的监督消费服务:弥合差距
Nyal Mirza1, Holly Mathias1, Elaine Hyshka2
1School of Public Health, University of Alberta, Edmonton, Alberta, Canada.
概括
监督消费服务 (SCS) 和过量预防服务 (OPS) 对于减少过量死亡和感染至关重要. 将这些服务扩展到加拿大农村地区至关重要,因为这些地区与毒品相关的危害日益增加.
科学领域:
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
- 农村卫生 农村卫生
背景情况:
- 监督消费服务 (SCS) 和过量预防服务 (OPS) 对于减轻使用毒品的人群中过量死亡,艾滋病毒和C型肝炎 (HCV) 的风险至关重要.
- 目前的SCS/OPS主要位于城市中心,农村和人口较少的地区服务不足.
研究的目的:
- 审查加拿大农村和小人口中心SCS/OPS的现状.
- 确定在这些环境中实施和访问SCS/OPS的关键障碍和促进者.
- 突出需要进一步研究在不同社区扩大SCS/OPS的需求.
主要方法:
- 本评论综合了有关农村SCS/OPS的现有知识.
- 它检查了可用性,实施障碍和促进者.
- 它讨论了为服务不足的地区提供潜在的替代交付模式.
主要成果:
- 大多数SCS/OPS集中在城市地区,在农村环境中可用性有限.
- 农村地区与毒品相关的死亡率和发病率不断上升,强调需要扩大服务.
- 农村SCS/OPS的障碍包括物流挑战和资源限制.
结论:
- 迫切需要将SCS/OPS扩展到加拿大的农村和小人口中心.
- 替代性交付模式,如虚拟和移动服务,以及同行网络,可以改善访问.
- 进一步的研究至关重要,以指导这些重要的公共卫生干预措施在所有社区规模的扩大.
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