Organizational Facilitators and Barriers to Medication for Opioid Use Disorder Capacity Expansion and Use.
Organizational Facilitators and Barriers to Medication for Opioid Use Disorder Capacity Expansion and Use.
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DOI：
10.1007/s11414-020-09706-4
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发表时间：
2020-10
期刊：
影响因子：
--
通讯作者：
Molfenter T
中科院分区：
文献类型：
--
作者：
Jacobson N;Horst J;Wilcox-Warren L;Toy A;Knudsen HK;Brown R;Haram E;Madden L;Molfenter T
阿片类药物使用障碍（MOUD）是解决阿片类药物使用障碍危机的关键策略，但MOUD提供的差距阻碍了这一策略的益处。本文报告的研究试图了解在建设和利用提供MOUD的能力方面，表现差的组织和表现好的组织有何区别。作为混合方法MOUD实施试验的一部分，半结构化的电话访谈进行了低，高性能MOUD提供组织的人员。对来自17个组织的17名个人进行了访谈。研究结果表明，个人，组织和社区层面的因素在支持建设和使用MOUD能力的重要性。在实施过程中，业绩差和业绩高的组织表现出不同的促进者和障碍模式。业绩差的组织和业绩好的组织之间的关键区别在于组织运作的水平。更好地了解一个组织在个人、组织和社区层面的资产和缺陷，将使决策者能够调整他们的方法来实施MOUD。
Medication for opioid use disorder (MOUD) is a key strategy for addressing the opioid use disorder crisis, yet gaps in MOUD provision impede this strategy’s benefits. The research reported here sought to understand what distinguishes low- and high-performing organizations in building and using capacity to provide MOUD. As part of a mixed methods MOUD implementation trial, semi-structured telephone interviews were conducted with personnel from low- and high- performing MOUD-providing organizations. Seventeen individuals from 17 organizations were interviewed. Findings demonstrate the importance of individual, organization, and community-level factors in supporting the building and use of MOUD capacity. Low- and high-performing organizations showed different patterns of facilitators and barriers during the implementation process. The key difference between low- and high-performing organizations was the level of organizational functioning. Better understanding of an organization’s assets and deficits at the individual, organizational, and community levels would allow decisionmakers to tailor their approaches to MOUD implementation.
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