在科罗拉多州农村地区实施药物治疗阿片类药物使用障碍计划的规划:确保适合环境
Claudia R Amura1, Aimee Techau2, Natalie D Ritchie3
1University of Colorado College of Nursing, 13120 E. 19th Ave, Aurora, CO 80045, USA; Colorado School pf Public Health, Aurora, CO 80045, USA.
Evaluation and program planning
|December 30, 2025
概括
科罗拉多州将其药物治疗阿片类药物使用障碍 (MOUD) 计划扩展到农村地区. 通过使用"适合上下文框架",计划设计解决了诸如容量,访问和耻辱等关键障碍,以改善患者的治疗结果.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 药物使用障碍治疗 药物使用障碍治疗
背景情况:
- 阿片类药物使用障碍 (OUD) 是美国的一个关键公共卫生问题,特别影响农村社区.
- 科罗拉多州药物治疗阿片类药物使用障碍 (MOUD) 计划的扩展旨在解决这个危机在服务不足的农村县.
研究的目的:
- 应用适合上下文的传播和可持续性设计框架 (F2C D4DS),以代设计和概念化MOUD程序扩展.
- 在科罗拉多州农村地区识别和解决MOUD计划实施和扩展的关键障碍.
主要方法:
- 利用客户发现和价值主张方法,通过对26个目标采用者和影响者的采访.
- 使用流程映射来分析组织背景,结构和工作流程.
- 综合的实施前阶段评估,以提高背景适应性和可持续性.
主要成果:
- 确定了优先障碍:组织能力,治疗准入,服务协调,OUD耻辱,财务可持续性和报告系统.
- 设计了新的MOUD程序元素:临床工具包,增强的数据系统,流程图和综合护理的逻辑模型.
- 告知MOUD扩展到高风险地区,最大限度地提高患者的治疗效果.
结论:
- F2C D4DS方法成功地确定了采用者的需求和好处,为设计一个可持续和适合环境的MOUD程序提供了信息.
- 系统地整合前实施阶段,提高了大规模MOUD倡议的上下文适应性和可持续性.
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