评估低门桥诊所扩张对公平获得物质使用障碍治疗的影响
Journal of addiction medicine
|October 7, 2025
概括
扩大低障碍桥梁诊所增加了黑人和西班牙裔患者的物质使用障碍 (SUD) 治疗访问,包括那些英语水平有限的人 (LEP). 这表明,缺乏服务的人群获得布普伦诺芬治疗的机会有所改善.
科学领域:
- 成 药物 药物 药物 药物
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 药物使用障碍 (SUD) 治疗中的种族不平等,特别是布普伦诺芬,加剧了过量剂量差异.
- 桥梁诊所提供低障碍,过渡性SUD治疗,并可能提高边缘化群体的获取机会.
- 桥梁诊所的扩张发生在种族和语言少数群体中过量死亡率高的地区.
研究的目的:
- 评估布里奇诊所扩张后黑人,西班牙裔和有限英语水平 (LEP) 患者的访问量变化.
- 评估低障碍治疗模式对服务不足人群SUD治疗机会的影响.
主要方法:
- 在2021年10月至2023年期间,三家医院和一家社区桥梁诊所被扩大.
- 实施涉及绩效测量审查,工具包和移动服务,以改善访问.
- 黑人非西班牙裔,西班牙裔和LEP患者的访问量按日历年汇总,并计算出总访问量的百分比.
主要成果:
- 总访问量从5,323 (2021) 增加到10,350 (2023),独特患者从1,893上升到3,316.
- 黑人患者 (437至1,151),西班牙裔患者 (566至1,609) 和LEP患者 (96至265) 的年访量显著增加.
- 从2021年到2023年,黑人 (8.21%至10.24%),西班牙裔 (10.63%至15.55%) 和LEP患者 (1.80%至2.56%) 的总访问比例显著增长.
结论:
- 低障碍桥梁诊所的扩张与黑人和西班牙裔患者SUD治疗访问的增加有关.
- 结果表明,这种模式可以改善英语水平有限的患者获得护理的机会.
- 低障碍,过渡期治疗模式在解决SUD护理中的种族和语言不平等方面显示出希望.
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