识别和应对与政策相关的障碍,促进者和误解在HEALing社区的研究:一个社区驱动的方法
Anita Silwal1, Robert Bohler2, Timothy Hunt3
1School of Community Health Sciences, Counseling, and Counseling Psychology, Oklahoma State University, 441 Willard Hall, Stillwater, OK 74078, United States; Substance Use Priority Research Area (SUPRA), University of Kentucky, Lexington, KY, United States.
The International journal on drug policy
|May 23, 2025
概括
治愈社区研究使用了社区驱动的政策监督方法来解决影响阿片类药物过量预防实践的障碍. 虽然解决了许多政策问题,但持续存在的障碍可能影响了研究结果.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 成研究 研究成研究
背景情况:
- 治愈 (帮助结束长期成) 社区研究 (HCS) 实施了基于证据的实践 (EBP) 以减少四个州涉及阿片类药物的过量死亡.
- 关键的EBP包括阿片类药物过量教育和纳洛分发,阿片类药物使用障碍 (MOUD) 药物扩张以及更安全的阿片类药物处方.
研究的目的:
- 建立一个程序来识别和解决可能阻碍实施EBP的政策,以预防阿片类药物过量使用.
- 评估政策问题对社区参与的EBP实施有效性的影响.
主要方法:
- 在三个HCS研究站点开发并实施了五步政策监督方法.
- 这涉及到与社区合作伙伴和利益相关者合作识别,跟踪和响应政策.
- 政策被审查,记录,并与利益相关者讨论,以解决障碍和澄清误解.
主要成果:
- 总共有87个政策被确定并解决,被分类为障碍 (42),促进者 (24) 或误解 (21).
- 政策工作组成功解决了超过73%的政策障碍,并澄清了90%的误解.
- 所有已识别的政策促进者 (100%) 被传播,以支持EBP实施.
结论:
- 社区驱动的政策监督方法有效地确定并解决了影响EBP实施的各种政策问题.
- 尽管干预措施取得了成功,但在HCS研究期间持续存在的政策障碍可能对研究结果产生了负面影响.
- 这突显了政策在公共卫生干预中对于预防阿片类药物过量使用的关键作用.
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