弥合差距:对第一个监狱远程医疗布普伦诺芬计划的释放后结果评估
Annabelle M Belcher1, Hannah Smith1, Christopher Welsh1
1Department of Psychiatry, University of Maryland, School of Medicine, Baltimore, MD 21201, United States.
Drug and alcohol dependence
|November 5, 2025
概括
农村监狱的远程医疗布普伦诺芬 (tele-buprenorphine) 治疗显著增加了社区对阿片类药物使用障碍 (OUD) 的参与. 这种创新方法在预防前被监禁人员中过量死亡方面显示出前景.
科学领域:
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
- 远程医疗远程医疗
背景情况:
- 监禁增加了过量服用的风险,特别是在阿片类药物使用障碍 (OUD) 患者中.
- 对阿片类药物使用障碍 (MOUD) 的药物是有效的,但在农村监狱中未得到充分利用.
- 远程医疗提供了一个解决方案,可以弥合这种护理差距.
研究的目的:
- 评估一种新的远程医疗布普伦诺芬 (tele-buprenorphine) 计划,用于监禁中度至重度OUD的囚犯.
- 评估社区治疗参与度和释放后过量事件.
主要方法:
- 农村监狱电话-布普伦诺芬计划中患者的回顾性图表审查 (2021年4月 - 2022年12月).
- 结果措施:释放后2周的社区布普伦诺芬参与和释放后2周内的过量事件.
- 招募了151名患者,120人被送回社区.
主要成果:
- 98.7%的人在整个监禁期间仍在接受治疗.
- 78%的出院患者在2周内接受了社区布普伦诺芬治疗.
- 75%的人在释放之前接受过桥梁布普伦诺芬处方.
结论:
- 远程布诺芬是一种可行的模式,可以在农村监狱中提供OUD治疗.
- 这种方法可以改善社区治疗参与度,并可能减少过量死亡.
- 要求更广泛的采用和进一步的评估.
相关概念视频
01:17Healthcare Agencies II
1.0K
There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
1.0K
01:15Nursing Evaluation
4.1K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
4.1K
01:30Specialized Care Centers and Settings-II
1.2K
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
1.2K
01:30Community Based Intervention
265
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...
265
01:54The Placebo Effect
6.8K
The placebo effect occurs when people's expectations or beliefs influence or determine their experience in a given situation. In other words, simply expecting something to happen can actually make it happen.
6.8K