针对老年人物质使用障碍的治疗量身定制:一项混合方法研究
Megan O'Grady1, Kristyn Zajac2, Alexandra DePalma3
1UConn Health, Department of Public Health Sciences, Farmington, Connecticut, USA.
Innovation in aging
|June 26, 2025
概括
药物使用障碍 (SUD) 的老年人数增加了三倍,但专门的治疗计划往往缺乏综合医疗服务. 解决这些差距对于改善对这个不断增长的人口的护理至关重要.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
背景情况:
- 在过去的20年里,在美国,有物质使用障碍 (SUD) 的老年人人数增加了两倍,主要是由于阿片类药物使用障碍.
- 患有SUD的老年人具有独特的医疗,心理和社会需求,需要专门的护理.
- 对于针对老年人量身定制的SUD治疗计划的可用性以及影响其实施的因素的了解有限.
研究的目的:
- 调查老年人专门的SUD治疗计划的可用性.
- 确定实施这些服务的障碍和促进者.
- 检查影响老年人参与SUD治疗的特征.
主要方法:
- 一项混合方法研究,结合了与辅导员的定性访谈和国家调查的定量分析 (SAMHSA N-SUMHSS,N-SSATS).
- 利用健康服务利用的行为模型对弱势群体和框架分析.
- 检查了康涅狄格州10家门诊SUD治疗设施的数据和国家调查数据.
主要成果:
- 提供"为老年人或老年人定制计划"的SUD治疗设施从2010年增加到2022年.
- 在提供老年人服务的设施中,社会,结构和心理健康服务是常见的 (64%-86%),但医疗服务的频率较低 (39%-52%).
- 倾向性,启用性,基于需求和医疗保健系统因素影响老年人的SUD治疗参与.
结论:
- 在SUD老年人的治疗需求和目前可用的服务之间存在很大的差距.
- 加强综合医疗服务,对老年综合征的查和劳动力培训对于优化老年人SUD治疗至关重要.
- 解决这些需求至关重要,特别是考虑到正在进行的阿片类药物使用障碍流行病.
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