针对阿片类药物使用障碍的远程医疗支持药物的全球观点:实践,优先事项和障碍
Joe Schofield1, Alexander Mario Baldacchino1, Atul Ambekar2
1School of Medicine, University of St Andrews, St Andrews, UK.
Journal of telemedicine and telecare
|January 21, 2026
概括
对阿片类药物使用障碍 (TMOUD) 的远程医疗在全球分布不均,集中在高收入国家. 解决政策,培训和基础设施缺口对于公平获得这一至关重要的治疗至关重要.
科学领域:
- 成 药物 药物 药物 药物
- 全球健康 全球健康
- 数字健康数字健康
背景情况:
- 远程医疗 (TM) 有潜力弥合阿片类药物使用障碍 (OUD) 的全球治疗差距.
- 关于TM for OUD (TMOUD) 的采用,优先事项和障碍的国际数据有限.
- 了解这些因素对于TMOUD公平的全球扩张至关重要.
研究的目的:
- 绘制TMOUD实践,优先事项和临床医生和领导者之间的障碍的国际格局.
- 为了识别不同国家的不同收入水平的TMOUD可用性和实施方面的差异.
- 为在全球范围内扩大公平有效的TMOUD的战略提供信息.
主要方法:
- 从2024年7月到11月进行了基于网络的横截面调查.
- 该调查通过国际成医学和精神病学协会针对临床医生和临床领导人.
- 回答被分析为整体,并按世界银行国家收入组和TMOUD可用性分层.
主要成果:
- 来自37个国家的68名专家参加了会议,其中32%来自中低收入国家 (LMICs).
- 在38%的司法管辖区,TMOUD可用,在高收入地区 (58%) 比LMIC地区 (11%) 更多.
- 主要障碍包括政策支持不足 (60%),缺乏指导 (63%),限制性法规 (48%),数字基础设施差 (29-56%),培训有限 (54%),在LMIC中障碍更为普遍.
结论:
- 目前,TMOUD的实施情况不均,主要集中在高收入国家.
- 解决政策,专业指导,数字基础设施和培训对于TMOUD扩张至关重要.
- 需要有针对性的努力,特别是在LMICs,以实现TM的潜力,在全球范围内实现公平的OUD治疗.
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