Implementation of a medical student-run telemedicine program for medications for opioid use disorder during the COVID-19 pandemic.
Implementation of a medical student-run telemedicine program for medications for opioid use disorder during the COVID-19 pandemic.
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DOI：
10.1186/s12954-020-00438-4
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发表时间：
2020-11-17
影响因子：
4.4
通讯作者：
Tookes HE
中科院分区：
文献类型：
--
作者：
Castillo M;Conte B;Hinkes S;Mathew M;Na CJ;Norindr A;Serota DP;Forrest DW;Deshpande AR;Bartholomew TS;Tookes HE
COVID-19 大流行导致佛罗里达州迈阿密 IDEA 注射器服务计划医学生经营的免费诊所关闭。为了继续为注射吸毒者社区服务并实行富有同情心和非评判性的护理，学生们将诊所转变为 TeleMOUD（治疗阿片类药物使用障碍的药物）模式。我们描述了通过学术医疗中心运营的注射器服务计划开发和实施由医学生运营的远程医疗诊所。 学生们在社交媒体上的注射器服务计划中宣传 TeleMOUD 服务，并创建了在线注册表。他们协调预约并通过电话或视频会议采访患者，评估患者的阿片类药物使用障碍。主治医生还采访了患者并在适当的时候开了丁丙诺啡。学生协助患者从药房获取药物，并在家庭丁丙诺啡诱导期间提供支持和指导。 在运营的前 9 周内，学生和主治医生团队完成了 31 次预约，并完成了 22 次初步远程医疗预约。其中 15 项任命是针对 MOUD，7 项任命是针对其他健康问题。所有寻求 MOUD 的患者都服用了丁丙诺啡，12/15 的患者成功从药房取药。提出预约请求和领取处方之间的平均时间为 9.5 天。在 COVID-19 大流行期间，TeleMOUD 是可行且成功的，可以为注射吸毒者提供低门槛的救生 MOUD。这种模式还为医学生提供了在大多数临床活动受到限制的时期治疗成瘾的经验。
The COVID-19 pandemic led to the closure of the IDEA syringe services program medical student-run free clinic in Miami, Florida. In an effort to continue to serve the community of people who inject drugs and practice compassionate and non-judgmental care, the students transitioned the clinic to a model of TeleMOUD (medications for opioid use disorder). We describe development and implementation of a medical student-run telemedicine clinic through an academic medical center-operated syringe services program. Students advertised TeleMOUD services at the syringe service program on social media and created an online sign-up form. They coordinated appointments and interviewed patients by phone or videoconference where they assessed patients for opioid use disorder. Supervising attending physicians also interviewed patients and prescribed buprenorphine when appropriate. Students assisted patients in obtaining medication from the pharmacy and provided support and guidance during home buprenorphine induction. Over the first 9 weeks in operation, 31 appointments were requested, and 22 initial telehealth appointments were completed by a team of students and attending physicians. Fifteen appointments were for MOUD and 7 for other health issues. All patients seeking MOUD were prescribed buprenorphine and 12/15 successfully picked up medications from the pharmacy. The mean time between appointment request and prescription pick-up was 9.5 days. TeleMOUD is feasible and successful in providing people who inject drugs with low barrier access to life-saving MOUD during the COVID-19 pandemic. This model also provided medical students with experience treating addiction during a time when they were restricted from most clinical activities.
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影响因子：
4.4
作者：
Bartholomew, Tyler S.;Tookes, Hansel E.;Feaster, Daniel J.
通讯作者：
Feaster, Daniel J.
影响因子：
2.8
作者：
Wesson, DR;Ling, W
通讯作者：
Ling, W
影响因子：
4.4
作者：
Rogers, Brooke G.;Coats, Cassie Sutten;Nunn, Amy
通讯作者：
Nunn, Amy
影响因子：
5.5
作者：
Harris, Miriam;Johnson, Samantha;Taylor, Jessica L.
通讯作者：
Taylor, Jessica L.
影响因子：
3.9
作者：
Huhn, Andrew S.;Dunn, Kelly E.
通讯作者：
Dunn, Kelly E.