概括
医院成咨询服务 (ACS) 改善了对物质使用障碍 (SUD) 的护理,但面临着可持续性挑战. 资金稳定性和离院后护理的准入是广泛实施急性护理环境的关键障碍.
科学领域:
- 医疗保健管理的管理
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
背景情况:
- 药物使用障碍 (SUD) 在住院患者中很常见,但基于证据的治疗往往缺乏急性护理.
- 基于医院的成咨询服务 (ACS) 显示出改善SUD治疗和出院后护理联系的希望.
- 维持ACS计划具有挑战性,限制了它们在医院中的广泛采用.
研究的目的:
- 确定使ACS维持的因素和这些计划遇到的障碍.
- 了解医院内扩大基于证据的SUD治疗的挑战.
主要方法:
- 与来自美国17家患有ACS的医院的21名领导人进行了半结构化采访和调查.
- 使用程序可持续性评估工具 (PSAT) 框架进行数据收集.
- 采访的定性编码和调查得分的分析,以确定主题和评估可持续性领域.
主要成果:
- 融资稳定是获得最低分的可持续性因素,以服务费模式和不充分的放弃后护理为障碍.
- 还确定了劳动力挑战,部门间摩擦和外部伙伴关系问题.
- 大多数ACS受益于多元化的资金和多学科团队,这表明在大多数领域都有强有力的支持.
结论:
- 解决资金稳定性和退役后护理差距对于ACS的长期成功至关重要.
- 克服劳动力,部门和伙伴关系挑战对于扩大ACS至关重要.
- 需要持续努力,以改善医院为住院患者提供SUD护理.
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