Harm Reduction, By Mail: the Next Step in Promoting the Health of People Who Use Drugs.

Harm Reduction, By Mail: the Next Step in Promoting the Health of People Who Use Drugs.
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DOI:
10.1007/s11524-021-00534-1
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发表时间:
2021-08
期刊:
Journal of urban health : bulletin of the New York Academy of Medicine
影响因子:
--
通讯作者:
Fox AD
Fox AD
中科院分区:
其他
文献类型:
--
作者:
Hayes BT;Favaro J;Davis CS;Gonsalves GS;Beletsky L;Vlahov D;Heimer R;Fox AD

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2020年,通过互联网获取医疗服务已变得司空见惯。网站对可能与羞耻或社会耻辱相关的病症(例如勃起功能障碍)提供离散评估和药物管理。健康保险计划简化了通过安全网站订购和补充药物的过程。这种私密且易于获得的护理服务方法能否改善对吸毒者 (PWUD) 的服务?提供减少伤害用品,包括无菌注射设备和用于逆转药物过量的纳洛酮,可以降低吸毒者的发病率和死亡率。然而,尽管公共卫生迫切需要,但向有需要的人提供这些服务的速度却缓慢且不足。在美国许多急需的地区,无法提供分发这些物资的注射器服务计划 (SSP)。在线访问和邮件投递可能是解决几十年来限制减害影响的问题的现代解决方案。
In 2020, accessing healthcare services through the Internet has become commonplace. Web sites offer discrete assessment and pharmaceutical management of conditions that may be associated with shame or social stigma, such as erectile dysfunction. Health insurance plans have simplified ordering and refilling medications through secure Web sites. Could this private and accessible approach to care delivery improve services for people who use drugs (PWUD)?Providing harm reduction supplies, including sterile injection equipment and naloxone for overdose reversal, reduces morbidity and mortality for people who use drugs. Yet, despite the strong public health imperative, scaling these services to people in need has been slow and inadequate. Syringe service programs (SSPs) that distribute these supplies are unavailable in many areas of high need in the USA. Online access and maildelivery may be a modern solution to problems that have limited the impact of harm reduction for decades.
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