"Medications for opioid use disorder during the war in Ukraine: a more comprehensive view on the government response-Authors' reply".
"Medications for opioid use disorder during the war in Ukraine: a more comprehensive view on the government response-Authors' reply".
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DOI：
10.1016/j.lanepe.2023.100583
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发表时间：
2023-03
影响因子：
20.9
通讯作者：
Altice, Frederick L.
中科院分区：
文献类型：
--
作者：
Bromberg, Daniel J.;Madden, Lynn M.;Meteliuk, Anna;Ivasiy, Roman;Leon, Samy J. Galvez de;Klyucharyov, Konstantin;Altice, Frederick L.
提交人正确地重申了乌克兰卫生部在俄罗斯入侵乌克兰时所做的努力和采取的快速反应，1包括迅速将阿片类药物使用障碍（MOUD）药物转移到更安全的地点，手动将MOUD分发到交通路线无法到达的地点，并允许提供30天的MOUD供应。2，3这些迅速、前所未有的反应是一个有效和负责任的政府的结果，它紧急通过了立法并颁布了新的指导方针，以满足公共卫生需求。我们赞扬这些努力.所有发布的内容与政府和私人MOUD诊所在哈尔科夫之间的合作创新，然而，仍然准确. 3它代表了战争中一个特定但关键的时刻，并得到了广泛的采访，定期参加卫生部电话会议，深入审查哈尔科夫数据，以及每周改善成瘾治疗网络（NIATx）辅导电话的支持。随着卫生部颁布MOUD政策，NIATx自2014年以来一直合作帮助指导MOUD的扩大。NIATx和卫生部之间的协同作用，以实现规模扩大的目标继续。4正如使用NIATx的一系列实施工具所观察到的那样，乌克兰适应COVID-19大流行的成功经验有助于改善该国的应急准备反应，使其MOUD提供商能够在战争期间迅速采取行动。政府在大流行期间紧急制定的政策在不知不觉中支持了随后快速招募新患者和使用NIATx更好地保留治疗，而死亡率没有增加。在那个脆弱的时期，尽管成瘾专家对转移、过量和辍学的风险表示担忧，但这些政策还是成功实施了。5
The author correctly restates Ukraine’s Ministry of Health’s (MoH) efforts and rapid responses taken as Russia invaded Ukraine, 1 including rapidly transferring medications for opioid use disorder (MOUD) to safer locations, manually distributing MOUD to sites inaccessible by transportation routes and allowing a 30-day supply of MOUD. 2, 3 These rapid, unprecedented responses were the result of a functioning and responsible government that urgently passed legislation and enacted new guidelines to meet public health needs. We commend these efforts.All content published related to innovations in collaboration between governmental and private MOUD clinics in Kharkiv, however, remains accurate. 3 It represents a specific, but critical time in the war and is supported by extensive interviews, participation on regular MoH conference calls, in-depth review of Kharkiv data, and weekly Network for the Improvement of Addiction Treatment (NIATx) coaching calls. As MoH enacted MOUD policy, NIATx has collaborated to help guide MOUD scale-up since 2014. Synergy between NIATx and MoH to achieve scale-up goals continues. 4 As observed using a bundle of implementation tools from NIATx, Ukraine’s successful experience adapting to the COVID-19 pandemic helped improve the country’s emergency preparedness response so that its MOUD providers could act promptly during war. The government’s urgently enacted policies during the pandemic unknowingly supported subsequent rapid enrolment of new patients and better treatment retention using NIATx with no increase in mortality. At that vulnerable time, such policies were implemented successfully despite concerns from addiction specialists regarding the risks of diversion, overdose, and dropout. 5
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影响因子：
50
作者：
Altice, Frederick L.;Bromberg, Daniel J.;Dvoriak, Sergii;Meteliuk, Anna;Pykalo, Iryna;Islam, Zahedul;Azbel, Lyu;Madden, Lynn M.
通讯作者：
Madden, Lynn M.
乌克兰战争期间阿片类药物使用障碍的药物：对政府的反应更全面的看法。
影响因子：
20.9
作者：
Ivanchuk, Iryna
通讯作者：
Ivanchuk, Iryna
影响因子：
64.3
作者：
Altice, Frederick L.;Bromberg, Daniel J.;Klepikov, Adriy;Barzilay, Ezra J.;Islam, Zahedul;Dvoriak, Sergii;Farnum, Scott;Madden, Lynn M.
通讯作者：
Madden, Lynn M.
影响因子：
3.9
作者：
Meteliuk A;Galvez de Leon SJ;Madden LM;Pykalo I;Fomenko T;Filippovych M;Farnum SO;Dvoryak S;Islam ZM;Altice FL
通讯作者：
Altice FL
影响因子：
2.3
作者：
Carroll, Jennifer J.
通讯作者：
Carroll, Jennifer J.