在美国,药房分发的甲用于阿片类药物使用障碍所需的行动
Zoe M Weinstein1, Jeffrey Bratberg2, Paul J Joudrey3
1Grayken Center for Addiction, Clinical Addiction Research and Education Unit, Section of General Internal Medicine, Department of Medicine, Boston Medical Center, and the Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA. zoe.weinstein@bmc.org.
甲对于治疗阿片类药物使用障碍至关重要,但目前美国诊所的数量有限. 扩大对办公环境的访问需要克服诸如保险和药房法规等实际障碍.
科学领域:
- 成 药物 药物 药物 药物
- 药理学 药理学是指药理学的学科.
- 公共卫生政策 公共卫生政策
背景情况:
- 甲是治疗阿片类药物使用障碍 (OUD) 的重要药物.
- 高强度合成阿片类药物的流行需要改善治疗的可获得性.
- 目前美国通过隔离诊所提供甲的模式存在重大局限性.
研究的目的:
- 探索美国当前甲治疗模式的局限性.
- 审查拟议的立法变更,以扩大对甲的获取,以办公室为基础的设置与药房分发.
- 确定实施扩大甲获取的实际障碍,并提出解决方案.
主要方法:
- 审查当前对美沙的护理提供模式.
- 对办公室基的甲治疗立法提案的分析.
- 确定实际实施障碍,包括保险,成本,事先授权和药房库存.
- 为临床医生和政策制定者制定实际步骤.
主要成果:
- 在美国,密封的美沙诊所在解决阿片类药物危机方面存在许多局限性.
- 拟议立法旨在使办公室设置和药房分发甲成为可能.
- 关键的实际障碍包括保险覆盖不足,患者费用,事先授权障碍以及药房对甲的库存限制.
结论:
- 克服实际障碍是成功实施扩大甲获取的关键.
- 确保对美沙的全面保险覆盖非常重要.
- 需要调整政策,以从药房的受控物质订购限制中删除甲.
- 缩甲配方的可用性可以帮助实施.
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