一个由医生领导的试点成咨询服务的多方法评估
Laura Rodger1, Kathleen Ann Sheehan2, Andrew Pinto3
1Upstream Lab, MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Unity Health Toronto, Toronto, ON, Canada; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada; Department of Medicine, University of Toronto, Toronto, ON, Canada.
一个试点成咨询服务改善了住院的药物使用障碍 (SUD) 患者的药物治疗. 医疗服务提供者重视医疗服务的价值,
科学领域:
- 医院成药物
- 住院药物使用障碍护理
- 临床项目评价
背景情况:
- 药物成咨询服务是针对药物使用障碍 (SUD) 患者的专门医院项目.
- 评估试点计划对服务量,患者人口统计,临床结果和提供者观点的影响对于优化护理至关重要.
- 了解推模式和供应商的挑战有助于改进服务.
研究的目的:
- 描述一个试点成咨询计划的吸收和患者特征.
- 为了比较患者在计划实施前和之后的临床结果.
- 探索与成咨询相关的医疗保健提供者的看法,转诊模式和临床实践.
主要方法:
- 在第三级医院使用RE-AIM框架进行了形成性多方法评估.
- 通过图表审查收集了有关计划采用的定量数据和患者人口统计数据.
- 提供者调查评估了实践模式,感知需求,角色和挑战.
主要成果:
- 一般内科占大多数咨询请求的比例 (75.1%).
- 与基线和非咨询患者相比,咨询显著增加了接受药物治疗的几率 (OR 5. 82- 6. 78).
- 提供者报告使用药物治疗,咨询和减少危害的挑战, 但重视咨询服务.
结论:
- 试点成咨询计划显示,住院患者持续接受药物治疗,并获得更好的治疗机会.
- 该服务支持加强住院成护理,提供者认识到其价值超出了药物管理.
- 解决供应商信心和资源导航仍然是全面SUD护理的关键.
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