Program development and implementation outcomes of a statewide addiction consultation service: Maryland Addiction Consultation Service (MACS).
Program development and implementation outcomes of a statewide addiction consultation service: Maryland Addiction Consultation Service (MACS).
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DOI：
10.1080/08897077.2020.1803179
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发表时间：
2021
期刊：
影响因子：
3.5
通讯作者：
Weintraub E
中科院分区：
文献类型：
--
作者：
Sweeney S;Coble K;Connors E;Rebbert-Franklin K;Welsh C;Weintraub E
随着类阿片流行病的继续，人们越来越迫切地需要改善获得高质量早期识别和治疗服务的机会。然而，许多州的需求超过了能力，支持初级保健和专业处方者识别和治疗更多阿片类药物使用障碍患者的有效解决方案仍在出现。本文介绍了一个国家的方法，以增加获得阿片类药物使用障碍（MOUD）通过开发和实施全州成瘾咨询服务：马里兰州成瘾咨询服务（MACS）。方案组成部分包括热线、推广和培训，以及基于相关咨询服务模式和记录的处方MOUD障碍的处方者资源和转诊联系。初步实施结果表明，服务组件正在按预期和目标受众采用;许多参与该服务的处方者放弃了丁丙诺啡（44%），但没有任何额外的正式成瘾培训（57%）。此外，全州范围内的普及率很有希望，100%的县都有处方医生参与，但只有33%的县参与了所有四种类型的MACS服务。大多数电话（61%）来自城市县。MACS计划通过使用技术增加了获得专业成瘾医学咨询和培训的机会。MACS可以作为其他州寻求弥合成瘾治疗方面差距的典范。
As the opioid epidemic continues, there is a mounting sense of urgency to improve access to high-quality early identification and treatment services. However, the need is outpacing capacity in many states and effective solutions to support primary care and specialty prescribers to identify and treat more patients with opioid use disorders are still emerging. This paper describes one state’s approach to increase access to medication for opioid use disorders (MOUD) through development and implementation of a statewide addiction consultation service: Maryland Addiction Consultation Service (MACS). Program components include a warmline, outreach and training, and resource and referral linkages for prescribers based on related consultation service models and documented barriers to prescribing MOUDs. Initial implementation outcomes indicate service components are being adopted as intended and by the target audience; many prescribers who engaged with the service have their buprenorphine waiver (44%) but do not have any additional formal addiction training (57%). Also, statewide penetration is promising with prescriber engagement in 100% of counites, however only 33% of counties in engaged in all four types of MACS services. Most calls (61%) originated from urban counties. The MACS program increases access to specialty addiction medicine consultation and training through use of technology. MACS can serve as a model for other states looking to bridge the gap in access to addiction treatment.
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影响因子：
2.3
作者：
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影响因子：
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作者：
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DOI：
10.1007/s11414-017-9580-9
发表时间：
2018-07-01
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