探索战略,将以前被监禁的个人与社区药剂师管理的注射性纳尔特雷克松服务联系起来
Jason S Chladek1,2, Michelle A Chui2,3
1NYU Grossman School of Medicine, New York, NY, United States.
Frontiers in public health
|August 4, 2025
概括
社区药剂师可以改善以前被监禁的人对阿片类药物使用障碍 (MOUD) 药物的获取. 药剂师主导的对惩教人员的教育是克服MOUD治疗障碍的关键策略.
科学领域:
- 公共卫生 公共卫生
- 药理学 药理学是指药理学的学科.
- 社会学 社会学 社会学
背景情况:
- 前被监禁的阿片类药物使用障碍 (OUD) 患者在重新入狱时面临着严重的障碍,无法获得阿片类药物使用障碍 (MOUD) 的药物.
- 这种人群有过量服用和再发病的高风险,原因是MOUD治疗的获取有限.
- 社区药剂师是MOUD交付,特别是注射性纳尔特雷的不足利用的资源.
研究的目的:
- 探索解决社区药剂师为以前被监禁的人注射纳尔特雷克松的障碍的策略.
- 通过一种参与式的方法来识别和优先考虑障碍和潜在的解决方案.
主要方法:
- 三个代的半结构焦点小组与五名社区药剂师进行了代,他们有经验在注射纳尔特雷和治疗以前被监禁的患者方面.
- 用演性内容分析来分析焦点组数据.
- 在线协作白板 (Mural) 用于笔记.
主要成果:
- 发现的关键障碍是缺乏对服务的认识和机构间合作不足.
- 作为解决这些障碍的战略,优先考虑了药剂师为惩戒人员提供药剂师主导的教育.
- 教育内容应包括资源共享,患者信息,成本效益和保险入学.
结论:
- 这些发现为加强社区药剂师给药的注射性纳尔特雷克松在以前被监禁的人群中使用提供了基本步骤.
- 通过有针对性的教育解决意识问题和机构间合作对于改善治疗准入至关重要.
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