Opioid treatment program safety measures during the COVID-19 pandemic: a statewide survey.
Opioid treatment program safety measures during the COVID-19 pandemic: a statewide survey.
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DOI：
10.1186/s12913-022-07832-7
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发表时间：
2022-03-30
影响因子：
2.8
通讯作者：
Krawczyk N
中科院分区：
文献类型：
--
作者：
Bandara S;Maniates H;Hulsey E;Smith JS;DiDomenico E;Stuart EA;Saloner B;Krawczyk N
阿片类药物治疗计划（OTP）是阿片类药物使用障碍患者的日常基本服务。本研究旨在识别于COVID-19大流行期间宾夕法尼亚州OTP的营运修改及安全措施的采纳。于2020年9月至11月期间，我们向宾夕法尼亚州所有103家获州政府许可的门诊及医疗服务机构的临床及行政总监进行了一项为期25分钟的网上调查。调查领域包括：1）COVID-19疫情期间服务、客户量、小时数及人手的变动2）服务类型的修改3）减少COVID-19传播的安全协议4）疫情期间营运的挑战。47名董事作出答复，答复率为45%。几乎所有受访者都报告进行了一些服务修改（96%，n = 43）。近一半（47%，n = 21）的受访者报告说，服务的客户数量减少。OTP更有可能采用不需要大量资金的安全协议，例如限制进入网站的人数（100%，n = 44），发布COVID安全信息（100%，n = 44），加强社交距离（98%，n = 43）和增加卫生设施（100%，n = 44）。只有34%（n = 14）的OTPS为大多数或所有员工提供了N95口罩。受访者报告说，工作人员的压力和消极的心理健康（86%，n = 38）和工作人员在大流行期间的责任（84%，n = 37）是维持检察官办公室业务的挑战。于COVID-19疫情期间，OTP在营运及采取安全措施方面面临众多挑战。资助机制和干预措施，以改善安全协议的采用，员工的心理健康以及对患者体验和偏好的研究，可以为OTP进一步适应COVID-19大流行和未来的应急规划提供信息。在线版本包含补充材料，可通过10.1186/s12913-022-07832-7获得。
Opioid treatment programs (OTPs) serve as daily essential services for people with opioid use disorder. This study seeks to identify modifications to operations and adoption of safety measures at Pennsylvania OTPs during the COVID-19 pandemic. A 25-min online survey to clinical and administrative directors at all 103 state-licensed OTPs in Pennsylvania was fielded from September to November 2020. Survey domains included: 1) changes to services, client volume, hours and staffing during the COVID-19 pandemic 2) types of services modifications 3) safety protocols to reduce COVID-19 transmission 4) challenges to operations during the pandemic. Forty-seven directors responded, for a response rate of 45%. Almost all respondents reported making some service modification (96%, n = 43). Almost half (47%, n = 21) of respondents reported reductions in the number of clients served. OTPs were more likely to adopt safety protocols that did not require significant funding, such as limiting the number of people entering the site (100%, n = 44), posting COVID-safety information (100%, n = 44), enforcing social distancing (98%, n = 43), and increasing sanitation (100%, n = 44). Only 34% (n = 14) of OTPS provided N95 masks to most or all staff. Respondents reported that staff’s stress and negative mental health (86%, n = 38) and staff caregiving responsibilities (84%, n = 37) during the pandemic were challenges to maintaining OTP operations. OTPs faced numerous challenges to operations and adoption of safety measures during the COVID-19 pandemic. Funding mechanisms and interventions to improve adoption of safety protocols, staff mental health as well as research on patient experiences and preferences can inform further OTP adaptation to the COVID-19 pandemic and future emergency planning. The online version contains supplementary material available at 10.1186/s12913-022-07832-7.
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影响因子：
6
作者：
Krawczyk, Noa;Mojtabai, Ramin;Saloner, Brendan
通讯作者：
Saloner, Brendan
影响因子：
3.9
作者：
Brothers, Sarah;Viera, Adam;Heimer, Robert
通讯作者：
Heimer, Robert
影响因子：
5.1
作者：
Holingue C;Badillo-Goicoechea E;Riehm KE;Veldhuis CB;Thrul J;Johnson RM;Fallin MD;Kreuter F;Stuart EA;Kalb LG
通讯作者：
Kalb LG
影响因子：
5.5
作者：
通讯作者：
--
DOI：
10.1016/j.drugpo.2021.103140
发表时间：
2021-06
期刊：
The International journal on drug policy
影响因子：
--
作者：
Krawczyk N;Bunting AM;Frank D;Arshonsky J;Gu Y;Friedman SR;Bragg MA
通讯作者：
Bragg MA