The impact of COVID-19 on substance use disorder treatment in California: Service providers' perspectives.
The impact of COVID-19 on substance use disorder treatment in California: Service providers' perspectives.
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DOI：
10.1016/j.jsat.2021.108544
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发表时间：
2022-03
影响因子：
3.9
通讯作者：
Hser YI
中科院分区：
文献类型：
--
作者：
Lin C;Clingan SE;Cousins SJ;Valdez J;Mooney LJ;Hser YI
新冠肺炎疫情对美国医疗体系产生了深刻影响，包括成瘾治疗。这项研究的目的是从服务提供者的角度描述COVID对物质使用障碍(SUDS)治疗交付的影响。2020年5月至9月期间，来自加利福尼亚州16个SUD治疗点的61家服务提供商参加了持续约一个小时的虚拟焦点小组。我们把讨论录了下来，并逐字抄写。两名定性分析师独立进行了内容分析，以从成绩单中确定主题。在大流行之初，服务提供者观察到患者入院人数略有下降，随后由于精神健康问题、酒精使用和复发增加，患者流量上升。许多诊所采用了灵活的服务提供模式，例如路边给药和延长带回家的药物，以便在诊所环境中实现社交距离。大约一半的诊所提供远程医疗，相当一部分患者更喜欢使用基于电话的服务，而不是基于视频的服务。互联网的不稳定和技术困难限制了他们的患者使用远程医疗。COVID对SUD治疗一直具有挑战性，但卫生保健系统迅速做出调整，可能导致SUD服务提供的长期变化。基于远程医疗的服务在确保不间断的病人护理方面发挥了重要作用。提供者需要组织、技术和后勤支持，以改善和维持远程医疗服务，从而增加患者获得高质量护理的机会。
The COVID-19 pandemic has had a profound impact on the U.S. health care system, including addiction treatment. The objective of this study is to describe the impact of COVID on the delivery of treatment for substance use disorders (SUDs) from the perspectives of service providers. Between May and September 2020, 61 service providers from 16 SUD treatment sites in California participated in virtual focus groups that lasted about an hour. We recorded the discussions and transcribed them verbatim. Two qualitative analysts independently conducted content analysis to identify themes from the transcripts. At the beginning of the pandemic, service providers observed a slight decrease in patient admissions, followed by an uptick in patient flow due to increased mental health issues, alcohol use, and relapse. Many of the clinics adopted flexible service delivery modes, such as curbside dosing and extended take-home medication, to enable social distancing in clinic settings. Approximately half of the clinic encounters offered telemedicime, and a considerable proportion of patients preferred to use telephone-based services rather than video-based services. Internet instability and technical difficulties limited the use of telemedicine among their patients. COVID has been challenging for SUD treatment, but health care systems rapidly reacted with adjustments that may result in long-term changes in SUD service delivery. Telemedicine-based services have played a major role in ensuring uninterrupted patient care. Providers need organizational, technical, and logistical support to improve and sustain telemedicine services that increase access to quality care for their patients.
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影响因子：
--
作者：
Basu, Saurav
通讯作者：
Basu, Saurav
影响因子：
11.3
作者：
Vecchio, Sarah;Ramella, Roberto;Somaini, Lorenzo
通讯作者：
Somaini, Lorenzo
美沙酮在COVID-19大流行期间的灵活性提高：是否应该将这种做法纳入常规临床护理中？
影响因子：
3.9
作者：
Trujols J;Larrabeiti A;Sànchez O;Madrid M;De Andrés S;Duran-Sindreu S
通讯作者：
Duran-Sindreu S
DOI：
10.29271/jcpsp.2020.supp1.s83
发表时间：
2020-06-01
期刊：
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
影响因子：
--
作者：
Sarwar, Muhammad Ali Awab;Sarwar, Huda
通讯作者：
Sarwar, Huda
影响因子：
9.3
作者：
Lopez-Pelayo, Hugo;Aubin, Henri-Jean;Gual, Antoni
通讯作者：
Gual, Antoni