Perspectives of Patients Receiving Telemedicine Services for Opioid Use Disorder Treatment: A Qualitative Analysis of User Experiences.
Perspectives of Patients Receiving Telemedicine Services for Opioid Use Disorder Treatment: A Qualitative Analysis of User Experiences.
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DOI：
10.1097/adm.0000000000001006
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发表时间：
2022-11-01
影响因子：
5.5
通讯作者：
中科院分区：
文献类型：
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作者：
OUD（远程OUD）远程医疗有可能增加OUD （mod）药物的可及性。全虚拟远程医疗服务越来越普遍，其中所有护理都通过远程医疗提供，但很少有研究记录使用此类服务的患者的经历。了解患者的观点是为远程oud服务的监管和报销提供信息的多种考虑因素之一。我们对20名接受完全虚拟远程oud服务的成年人进行了半结构化访谈，他们接受了3-5周的治疗。分析采用归纳和演绎的方法进行，采用改进的技术接受和使用统一理论模型。在过去接受过现场oud治疗的患者中，超过四分之三的人认为远程oud更有优势，其主要优势是以患者为中心。超过四分之三的患者表示，他们认为远程oud有助于改善寻求治疗的社会障碍，几乎所有人都表示，他们对能够通过远程oud启动mod治疗的速度表示赞赏。令人惊讶的是，疫情并不是影响患者对远程oud兴趣的因素之一。参与全虚拟远程oud服务的患者描述了远程oud的独特优势。需要更多的研究来确定远程OUD对处于不同恢复阶段的人的适用性，并且需要长期治疗结果的数据来为OUD的完全虚拟和混合护理模式的监管和报销决策提供信息。
Telemedicine for OUD (tele-OUD) has the potential to increase access to medications for OUD (MOUD). Fully-virtual tele-OUD services, in which all care is provided via telemedicine, are increasingly common, yet few studies document the experiences of patients who utilize such services. Understanding patient perspectives is one of multiple considerations to inform the regulation and reimbursement of tele-OUD services. We conducted semi-structured interviews with 20 adults receiving care from one fully virtual tele-OUD service who had received 3–5 weeks of treatment. Analyses were conducted using an inductive and deductive approach informed by the modified Unified Theory of Acceptance and Uses of Technology model. Over three-quarters of patients with past experience receiving in-person MOUD treatment described tele-OUD as more advantageous with its key strength being more patient-centered. Over three-quarters of patients said they felt tele-OUD helped to ameliorate social barriers to seeking treatment, and nearly all said they appreciated the speed at which they were able to initiate MOUD treatment via tele-OUD Surprisingly, the pandemic was not among the factors that influenced patient interest in tele-OUD. Patients engaged in one fully-virtual tele-OUD service described unique advantages of tele-OUD. More research is needed to determine the appropriateness of tele-OUD for people in various stages of recovery, and data on long-term treatment outcomes is needed to inform decisions about the regulation and reimbursement of fully virtual and hybrid care models for OUD.