提升过量预防生活经验:亚利桑那州过量数据的社区案例研究,以行动社区咨询委员会
Martín F Celaya1, Devina Wadhera1, Khenyan Wilcox2
1Arizona Department of Health Services, Phoenix, AZ, United States.
Frontiers in public health
|January 22, 2026
概括
亚利桑那 亚利桑那 亚利桑那
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
- 基于社区的参与式研究
背景情况:
- 药物过量是美国主要的可预防的死亡原因,健康不平等显著.
- 传统的评估模型往往排除了有生活经验的人 (PWLE),限制了他们的影响.
- 解决这些差距需要创新的,以社区为中心的方案评估方法.
研究的目的:
- 实施和评估一个以社区为基础的参与性评估模式,用于过量预防计划.
- 将吸毒者的生活经验纳入计划规划和解释中.
- 引导计划的改进,并解决社区在过量预防方面的确定优先事项.
主要方法:
- 成立了一个社区咨询委员会 (CAB),由代表不同背景的受薪成员组成.
- 在CAB会议上使用创伤信息和治疗中心的便利化方法.
- 采用了参与式方法,如旅程映射和逻辑模型开发,以获得可操作的见解.
主要成果:
- CAB优先评估纳洛自动售货机和同行导航模型.
- 确定的关键障碍包括耻辱,获取,运输和对文化敏感护理的需求.
- 在康复阶段 (86%) 和有色人种 (88%) 的人群中,代表性很强.
结论:
- 与PWLE进行补偿,创伤知情的参与,提高了评估的质量和相关性.
- 挑战包括行政延误,有限的概括性,以及需要可持续的资金.
- 这种模式促进了公平,建立了信任,并加强了数据驱动的过量预防策略.
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