医疗保健提供者对患有物质使用障碍的患者的耻辱
Carrigan L Parish1, Daniel J Feaster2, Harold A Pollack3
1Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, Miami Research Center, Miami, FL, USA.
Addiction (Abingdon, England)
|July 24, 2025
概括
美国医生中对药物使用障碍的提供者耻辱是很高的,特别是在兴奋剂使用障碍方面. 较低的耻辱感与更好的临床实践有关,包括转诊和药物供应用于成治疗.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 药物中毒药物 药物中毒药物
背景情况:
- 美国面临着一个过量服用的流行病,每年有超过89,000人死亡.
- 大多数有物质使用障碍 (SUD) 的人仍然没有接受治疗,提供者耻辱被认为是关键障碍.
研究的目的:
- 量化对SUD患者提供者耻辱的流行率和强度.
- 为了比较不同类型的物质使用 (阿片类药物,兴奋剂,酒精) 和其他医疗状况的耻辱程度.
- 检查提供者耻辱和临床实践之间的关系.
主要方法:
- 从2020年10月到2022年10月,进行了一项全国概率抽样调查.
- 1240名初级保健医生 (PCP),紧急医疗医生 (EMP) 和牙医参与了这项研究.
- 医疗状况评估尺度评估了对SUD,II型糖尿病,抑郁症和艾滋病毒的提供者耻辱感.
主要成果:
- 对于兴奋剂使用障碍 (平均=36.3) 的耻辱是最高的,对于糖尿病 (平均=23.2) 的耻辱是最低的.
- 对阿片类药物和兴奋剂使用障碍的耻辱感明显高于对酒精使用障碍的耻辱感.
- 紧急医疗医生报告的耻辱比PCP更高,他们报告的耻辱比牙医更高.
- 较低的耻辱评分与增加的SUD转诊,提供阿片类药物使用障碍的药物,以及SUD咨询的可用性相关.
结论:
- 美国医生中对SUD的供应商耻辱是普遍存在的,比糖尿病等其他疾病更高.
- 这种耻辱与关键的临床实践有负面关联,阻碍了有效的SUD治疗.
- 解决医疗服务提供者的耻辱是改善药物使用障碍患者获得护理的必要条件.
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