The Impact of COVID-19 on Service Provision for Emergency Department Patients Post-Opioid Overdose: A Field Report
The Impact of COVID-19 on Service Provision for Emergency Department Patients Post-Opioid Overdose: A Field Report
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DOI：
10.1097/adm.0000000000000779
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发表时间：
2021-09-01
影响因子：
5.5
通讯作者：
Baird, Janette
中科院分区：
文献类型：
--
作者：
Collins, Alexandra B.;Beaudoin, Francesca L.;Baird, Janette
背景：为了最大限度地减少新冠肺炎的传播，健康和辅助护理提供者改变了服务提供模式。这些变化包括增加对远程医疗模式的依赖，减少服务或手术时间，以及禁止客人和非必要人员进入医疗保健环境。我们描述了与罗德岛州急诊科(ED)高级从业者一起进行的快速环境评估，以了解与COVID相关的程序变化如何影响ED提供过量用药后的护理。方法：从2020年6月至7月，对罗德岛州急诊室的14名高级保健医生进行了半结构化访谈。访谈是一项正在进行的更大规模研究的一部分，该研究考察了急诊室阿片类药物后过量护理的实施情况和有效性，并试图了解新冠肺炎如何影响为吸毒者提供的服务。结果：与COVID相关的政策变化挑战了在急诊室向PWUD提供服务的问题，并扩大了将OUD患者与社区服务联系起来的挑战。具体地说，挑战包括向远程保健模式的过渡、治疗服务所需的COVID测试以及社区资源的缺口。结论：这项研究强调了在PWUD重叠的公共卫生危机中改善服务交付的机会，包括在急诊室和整个护理过程中加强远程医疗的使用。
Background: To minimize the spread of COVID-19, health and ancillary care providers altered service delivery patterns. These changes included an increase in reliance on telemedicine modalities, a reduction in services or hours of operation, and prohibiting guests and nonessential personnel from healthcare settings. We describe a rapid environmental assessment with senior emergency department (ED) practitioners in Rhode Island to understand how COVID-related procedural changes impact the provision of post-overdose care in ED. Methods: Semi-structured interviews were conducted with 14 senior healthcare practitioners in EDs across Rhode Island from June to July 2020. Interviews were part of a larger, ongoing study examining the implementation and effectiveness of post-opioid overdose care in EDs and sought to understand how COVID-19 had impacted the provision of services for people who use drugs (PWUD). Results: COVID-related policy changes challenged the provision of services to PWUD in the ED, and extended challenges in connecting people with OUD to services in the community. Specifically, challenges included transitions to telehealth modalities, required COVID tests for treatment services, and gaps in community resources. Conclusions: This study underscores opportunities to improve the delivery of services amid overlapping public health crises for PWUD, including bolstering the use of telemedicine in EDs and across the care continuum.