管理酒精计划参与者获得医疗保健:一项混合方法研究
Alexa Davis1, Bernie Pauly2, Sherry H Stewart3
1Dalhousie University, Department of Community Health and Epidemiology, Centre for Clinical Research, 5790 University Avenue, Halifax, Nova Scotia B3H 1V7, Canada.
The International journal on drug policy
|August 19, 2025
概括
管理酒精计划 (MAP) 改善了高风险饮酒的个体获得医疗保健的机会. 参与MAP增加了定期和令人满意的医疗保健准入,证明了它们在减少危害方面的价值.
科学领域:
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
- 医疗保健服务研究 医疗服务研究
背景情况:
- 管理酒精计划 (MAP) 为严重饮酒障碍患者提供规范的酒精剂量,这些患者对传统治疗没有反应.
- 这些减少危害的倡议旨在减少与酒精有关的危害,并改善健康的社会决定因素,包括住房和医疗保健.
- 了解MAP对获得医疗保健的具体影响对于优化为弱势群体提供服务至关重要.
研究的目的:
- 评估参与管理酒精计划 (MAPs) 对高风险饮酒行为的个人获得医疗保健的影响.
- 为了比较MAP参与者与匹配的对照组之间获得医疗保健的机会.
- 探索MAP参与者关于医疗保健利用的定性经验.
主要方法:
- 混合方法设计,将定量调查和定性半结构面试相结合.
- 从188名MAP参与者和198名加拿大6个城市 (2014-2017年) 的匹配对照参与者收集的数据.
- 对一小部分参与者 (n=82 MAP,n=116对照组) 的纵向随访数据进行分析,以评估随时间变化.
主要成果:
- 横截面分析显示,与对照组相比,MAP参与者报告了明显更高的定期 (OR 1.77) 和令人满意 (OR 2.02) 的医疗保健接入.
- 纵向数据表明,当MAP参与者积极参与该计划时,他们更有可能获得定期 (OR 2.16) 和满意 (OR 3.23) 的医疗保健.
- 定性主题显示,MAP通过综合服务,支持性环境和关系建设来促进医疗保健的获取,这对于解决复杂需求至关重要.
结论:
- 管理的酒精项目显著提高了高风险饮酒行为,特别是那些经历无家可归的人的定期和令人满意的医疗保健准入.
- 在MAP中的结构化支持和综合服务是改善医疗保健参与的关键推动者.
- 在MAP中,长期支持性护理对于改善这一群体的健康结果和医疗保健利用是至关重要的.
更多相关视频
相关概念视频
01:26Methods Of Healthcare Delivery System
3.5K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.5K
01:30Community Based Intervention
94
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
94
01:15Methods of Documentation VI: Case Management Model
628
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
628
01:30Primary Healthcare Services
1.5K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.5K
01:18Models of Health Promotion and Illness Prevention II
1.7K
The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results...
The agent-host-environment model states that disease results...
1.7K
01:11Secondary Healthcare System
1.6K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.6K