Assessing the needs of front-line providers in addressing the opioid crisis in South Carolina
Assessing the needs of front-line providers in addressing the opioid crisis in South Carolina
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DOI：
10.1016/j.jsat.2019.06.006
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发表时间：
2020-01-01
影响因子：
3.9
通讯作者：
Brady, Kathleen
中科院分区：
文献类型：
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作者：
Moreland, Angela;McCauley, Jenna;Brady, Kathleen
阿片使用障碍(OUD)已被宣布为一种全国性的危机，因为OUD的流行率在过去十年中显著增加(Jones，2017)。虽然药物辅助治疗(MAT)是ODS护理的标准，但临床和研究文献中已经注意到了实施的几个关键障碍(DeFlavio等人，2015年)。作为在整个南卡罗来纳州加强执行和传播MAT的第一步，对33个机构的关键人员进行了需求评估，以便为我们的工作提供信息。结果提供了关于医疗机构内看到的医疗提供者和患者的描述性信息。在33个机构中，6个机构(18%)报告有丁丙诺啡豁免提供者的工作人员(6个机构共有11个医疗提供者)。各机构报告说，在过去的一个月里，他们平均将4.63名患者转诊到其他机构进行MAT。确定了提供MAT的障碍，其中最重要的障碍包括缺乏医务人员开丁丙诺啡(47%)。总体而言，目前的研究重申了OUD患者的治疗需求和能力之间的差距，并强调了与州政府资助的县药品和酒精机构在一个以农村为主的南部州采用MAT的障碍相关的因素。
Opioid use disorder (OUD) has been declared a national crisis, as prevalence of OUD has increased remarkably over the past decade (Jones, 2017). While Medication Assisted Treatment (MAT) is the standard of care for OUDs, several key barriers to implementation have been noted throughout the clinical and research literature (DeFlavio et al., 2015). As a first step toward enhancing implementation and dissemination of MAT across the state of South Carolina, a needs assessment was conducted with key persons from 33 agencies to inform our efforts. Results provided descriptive information regarding medical providers and patients seen within agencies. Of the 33 agencies, 6 agencies (18%) reported having buprenorphine-waivered providers on staff (total of 11 medical providers across the 6 agencies). Agencies reported that they referred a mean of 4.63 patients to other facilities for MAT in the past month. Barriers to providing MAT were identified, with the most significant barrier including the lack of medical staff to prescribe buprenorphine (47%). Overall, the current study reiterates the gap between treatment need and capacity for OUD patients, and highlights factors associated with barriers to MAT adoption in state-funded county drug and alcohol agencies across a southern, predominantly rural state.