Availability of telehealth-based services at syringe services programs under the COVID-19 Public Health Emergency.
Availability of telehealth-based services at syringe services programs under the COVID-19 Public Health Emergency.
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DOI：
10.1186/s12954-023-00861-3
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发表时间：
2023-09-02
影响因子：
4.4
通讯作者：
Lambdin, Barrot H.
中科院分区：
文献类型：
--
作者：
Bartholomew, Tyler S.;Tookes, Hansel E.;Chueng, Teresa A.;Bluthenthal, Ricky N.;Wenger, Lynn D.;Kral, Alex H.;Lambdin, Barrot H.
美国注射器服务计划（SSP）整合远程医疗服务的能力扩大，主要与应对COVID-19大流行时丁丙诺啡处方的灵活性有关。SSP展示了利用远程保健向参与者提供医疗和非医疗服务的潜力。本研究探讨了医疗和非医疗远程医疗为基础的健康服务的实施，在2020年在美国的SSP和采用特定的远程医疗服务相关的组织特征。我们对截至2021年在美国运营的所有已知SSP进行了横断面调查。两个主要研究成果是（1）医疗远程医疗的实施和（2）2020年非医疗远程医疗的实施。医疗服务包括艾滋病毒咨询/护理、丙型肝炎病毒（HCV）咨询/护理和丁丙诺啡。非医疗服务包括健康/登记、过量预防培训、健康导航、减少伤害和心理咨询。二元和多元混合效应logistic回归模型被用来直接估计与远程保健为基础的卫生服务的实施组织特征相关的优势比。30%的方案（n = 290）报告实施了基于远程保健的保健服务。在多变量logistic回归模型中，与公共卫生部门SSP相比，社区组织SSP实施医疗（aOR = 4.69，95%CI [1.96，11.19]）和非医疗（aOR = 2.18，95%CI [1.10，4.31]）卫生服务的几率更高。与没有政府资助的项目相比，接受政府资助的SSP通过远程医疗实施医疗服务的几率更高（aOR = 2.45，95%CI [1.35，4.47]）。社区组织SSP和政府资助的SSP在应对COVID-19公共卫生紧急情况时实施远程医疗的可能性最高。联邦、州和地方政府必须增加对SSP等低障碍场所的资助，以支持远程医疗的实施，满足吸毒者的需求。
The expanded capacity of syringe services programs (SSPs) in the USA to integrate telehealth services was largely related to flexibility of buprenorphine prescription in response to the COVID-19 pandemic. SSPs demonstrated the potential of using telehealth to reach participants with both medical and non-medical services. The present study examines the implementation of medical and non-medical telehealth-based health services in 2020 at SSPs in the USA and organizational characteristics associated with adopting specific telehealth services. We administered a cross-sectional survey among all known SSPs operating in the USA as of 2021. The two primary study outcomes were (1) implementation of medical telehealth and (2) implementation of non-medical telehealth in 2020. Medical services included HIV counseling/care, hepatitis C virus (HCV) counseling/care, and buprenorphine. Non-medical services included wellbeing/check-ins, overdose prevention training, health navigation, harm reduction and psychological counseling. Bivariate and multivariable mixed effects logistic regression models were used to directly estimate the odds ratio associated with organizational characteristics on the implementation of telehealth-based health services. Thirty percent of programs (n = 290) reported implementing telehealth-based health services. In multivariable logistic regression models, community-based organization SSPs had higher odds of implementing medical (aOR = 4.69, 95% CI [1.96, 11.19]) and non-medical (aOR = 2.18, 95% CI [1.10, 4.31]) health services compared to public health department SSPs. SSPs that received governmental funding had higher odds of implementing medical services via telehealth (aOR = 2.45, 95% CI [1.35, 4.47]) compared to programs without governmental funding. Community-based organization SSPs and those with government funding had the highest odds of telehealth implementation in response to the COVID-19 Public Health Emergency. Federal, state, and local governments must increase funding for low-barrier venues like SSPs to support telehealth implementation to serve the needs of people who use drugs.
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影响因子：
7.7
作者：
Garfan S;Alamoodi AH;Zaidan BB;Al-Zobbi M;Hamid RA;Alwan JK;Ahmaro IYY;Khalid ET;Jumaah FM;Albahri OS;Zaidan AA;Albahri AS;Al-Qaysi ZT;Ahmed MA;Shuwandy ML;Salih MM;Zughoul O;Mohammed KI;Momani F
通讯作者：
Momani F
影响因子：
4.2
作者：
Behrends CN;Lu X;Corry GJ;LaKosky P;Prohaska SM;Glick SN;Kapadia SN;Perlman DC;Schackman BR;Des Jarlais DC
通讯作者：
Des Jarlais DC
影响因子：
3.5
作者：
Collins KM;Armenta RF;Cuevas-Mota J;Liu L;Strathdee SA;Garfein RS
通讯作者：
Garfein RS
影响因子：
4.4
作者：
Bartholomew, Tyler S. S.;Andraka-Cristou, Barbara;Totaram, Rachel K. K.;Harris, Shana;Doblecki-Lewis, Susanne;Ostrer, Lily;Serota, David P. P.;Forrest, David W. W.;Chueng, Teresa A. A.;Suarez, Edward;Tookes, Hansel E. E.
通讯作者：
Tookes, Hansel E. E.
影响因子：
4.2
作者：
Lambdin, Barrot H.;Bluthenthal, Ricky N.;Kral, Alex H.
通讯作者：
Kral, Alex H.