华盛顿州的中心和发言模式对改善阿片类药物使用障碍的结果的有效性
Sharon Reif1, Maureen T Stewart1,2, Shay M Daily1
1Institute for Behavioral Health, Schneider Institutes for Health Policy and Research, Heller School for Social Policy and Management, Brandeis University, 415 South Street, Waltham, MA 02453, United States.
Health affairs scholar
|September 2, 2025
概括
华盛顿州的中心和分支 (HS) 模型没有显著改善阿片类药物使用障碍 (MOUD) 的连续性或医疗保健使用. 结果表明HS模型需要增强长期MOUD治疗参与度的策略.
科学领域:
- 公共卫生
- 医疗服务研究
- 药物成
背景情况:
- 药物治疗阿片类药物使用障碍 (MOUD) 对于减少过量服用死亡至关重要.
- 枢纽和 (HS) 模式是扩大MOUD访问的策略,但其有效性尚未得到充分证实.
- 需要创新策略来提高MOUD的使用率.
研究的目的:
- 评估华盛顿州的中心和发言 (WA-HS) 模型对6个月的结果的影响.
- 在WA-HS模型中评估MOUD连续性和医疗保健利用率.
- 确定HS模型是否改善了治疗参与度.
主要方法:
- 分析了25368名成年医疗补助受益者 (2016-2019年) 的新MOUD病例.
- 在MOUD开始后6个月内对HS和非HS群体进行比较.
- 结果包括MOUD连续性,急诊室访问,住院和密集治疗.
主要成果:
- 在这两组中,26%的患者继续服用MOUD6个月.
- 在MOUD连续性或医疗保健利用方面,没有观察到HS和非HS队列之间的显著差异.
- 在6个月内,42%的患者接受急救,14%的患者住院治疗,13%的患者接受重症监护.
结论:
- 实施的WA-HS模型没有显示出MOUD连续性或医疗保健利用的显著改善.
- 零发现可能反映了阿片类药物使用障碍 (OUD) 的复杂性以及该模型对启动的重点.
- 未来的HS模型应该整合战略来支持长期的MOUD连续性,以实现持续的复苏.
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