Improving Access to Evidence-Based Medical Treatment for Opioid Use Disorder: Strategies to Address Key Barriers within the Treatment System.
Improving Access to Evidence-Based Medical Treatment for Opioid Use Disorder: Strategies to Address Key Barriers within the Treatment System.
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DOI：
10.31478/202004b
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发表时间：
2020-01-01
期刊：
影响因子：
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通讯作者：
Sharfstein, Joshua Sharfstein
中科院分区：
文献类型：
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作者：
Madras, Bertha K;Ahmad, N Jia;Sharfstein, Joshua Sharfstein
尽管对阿片类药物使用障碍（OUD）的循证治疗是有效的，但几乎五分之四的OUD美国人没有接受任何形式的治疗。在获得循证护理方面的差距，包括用药物治疗OUD，部分原因是卫生保健系统内部的变革障碍。本文包括阻碍获得循证护理的九个关键障碍，包括耻辱;临床培训不足;缺乏成瘾专家;实践中缺乏MOUD规定的整合;监管，法定和数据共享限制;以及财务障碍。迫切需要一些行为体采取行动来应对这一危机。
Even though evidence-based treatment for opioid use disorders (OUD) is effective, almost four in five Americans with OUD do not receive any form of treatment. The gap in access to evidence-based care, including treatment with medications for OUD, stems in part from barriers to change within the health care system. This paper includes nine key barriers that prevent access to evidence-based care, including stigma; inadequate clinical training; a dearth of addiction specialists; lack of integration of MOUD provision in practice; regulatory, statutory, and data sharing restrictions; and financial barriers. Action from a number of actors is urgently needed to address this crisis.