利用远程医疗在社区减少危害服务中提供以患者为中心的阿片类药物激动剂治疗:一种混合方法评估
Stine Bordier Høj1, Rémi Coignard-Friedman1, Aissata Sako1
1Centre de Recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM), 900 Rue Saint Denis, Local R06.430, Montreal, QC, H2X 0A9, Canada.
Harm reduction journal
|November 11, 2025
概括
这项研究表明,基于社区的远程医疗计划改善了阿片类药物激动剂治疗 (OAT) 的保留. 灵活的,以患者为中心的护理在降低危害的环境中改善了患者的治疗体验和可访问性.
科学领域:
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
- 远程医疗服务是远程医疗服务.
背景情况:
- 以患者为中心的护理可以改善阿片类药物激动剂治疗 (OAT) 的保留,但在严格的环境中面临实施挑战.
- 在加拿大蒙特利尔评估了一项远程医疗计划,该计划提供灵活的,以患者为中心的OAT,来自社区减少伤害中心.
研究的目的:
- 评估一种新的远程医疗计划,以提供以患者为中心的OAT.
- 评估基于社区的减少危害环境中的保留率和患者体验.
主要方法:
- 在降低危害的环境中建立了一个OAT诊所,通过远程医疗提供远程成医疗服务.
- 社区工作人员促进了客户查,远程医疗连接和整体后续工作.
- 采用了融合混合方法设计,包括图表审查和采访,以评估长达12个月的有效性.
主要成果:
- 69名患者开始接受OAT,其中54%的人开始服用甲和35%的人服用缓释口服吗啡;71%的人在12个月后接受OAT (不考虑之前的中断).
- 在第一个OAT发作中,持续保留在12个月后为54%.
- 观察到高艾滋病毒和HCV评估率,其中13/15名HCV阳性患者开始抗病毒治疗.
结论:
- 基于社区的远程医疗计划有效地整合了卫生和社区部门的OAT提供.
- 在降低危害的环境中,以合作为中心,以患者为中心的方法改善了治疗经验和保留.
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