与其他医疗保健设施相比,物质使用障碍治疗计划的空间可访问性,在纽约州,2024年
Marcus A Bachhuber1,2, Chinazo O Cunningham3, Pat Lincourt3
1New York State Office of Addiction Services and Supports, 501 7Th Avenue, New York, NY, 10018, USA. bachhmar@ohsu.edu.
药物使用障碍 (SUD) 治疗的空间可访问性在纽约州 (NYS) 很普遍. 虽然大多数居民可以获得医疗服务,但农村地区面临着挑战,需要利用新的机会来改善医疗服务.
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
- 空间流行病学 空间流行病学
背景情况:
- 药物使用障碍 (SUD) 治疗的空间可访问性是获得护理的关键决定因素.
- 识别空间障碍对于改善治疗可用性和患者结果至关重要.
研究的目的:
- 综合分析纽约州 (NYS) 各种SUD治疗服务的空间可访问性.
- 根据地理位置和城市性来识别在接入方面的差异.
主要方法:
- 对纽约州门诊,阿片类药物治疗计划 (OTP) 和住宅SUD设施的横截面分析.
- 估计单程旅行时间 (驾驶或公共交通) 和通道的稳定性.
- 城市 (纽约市,城市非纽约市,农村) 和经济发展地区的旅行时间比较.
主要成果:
- 97.2%的纽约州居民在门诊SUD治疗30分钟之内;82.3%的OTP.
- 门诊SUD服务的平均旅行时间与FQHC和透析设施相比,但比医院更长.
- 与FQHC,透析设施和医院相比,前往OTP的旅行时间更长.
- 与纽约市和城市非纽约市地区相比,农村地区的旅行时间更长,SUD治疗访问的稳定性降低.
结论:
- 在整个纽约州,SUD治疗设施的广泛空间可访问性存在.
- 诸如远程医疗扩张,修订的OTP法规和定居点融资等机会可以解决农村地区的接入差距.
- 需要有针对性的战略来克服SUD治疗的空间障碍,特别是在服务不足的地区.
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