Evaluating Telemedicine-Related Opioid Use Disorder (OUD) Services in Underserved Populations: A Comparison of Waiver and Post-waiver Periods

评估服务不足人群中与远程医疗相关的阿片类药物使用障碍 (OUD) 服务：豁免期和豁免期的比较

• 批准号: 10808296
• 负责人: Ezemenari M Obasi
• 金额: $ 7.55万
• 依托单位: UNIVERSITY OF HOUSTON
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-08 至 2025-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10808296
• 关键词: Address; Adoption; Advocate; Awareness; Baltimore; COVID-19; COVID-19 pandemic; Centers for Disease Control and Prevention (U.S.); Cities; Clinic; Communities; Data; Development; Disadvantaged; Disparity; Emergency Situation; Equity; Ethnic Origin; Evidence based program; Evidence based treatment; Failure; Focus Groups; Geography; Goals; Health; Health Personnel; Health Services Accessibility; Hispanic; Illicit Drugs; Improve Access; Individual; Intervention; Literature; Maintenance; Medical center; Modeling; Monitor; Nature; Opioid; Outcome; Overdose; Patient-Focused Outcomes; Patients; Persons; Pharmaceutical Preparations; Philadelphia; Pilot Projects; Policies; Population; Predictive Factor; Primary Care Physician; Process; Provider; Race; Recording of previous events; Reporting; Research; Research Design; Research Methodology; Risk; Role; San Francisco; Services; Surveys; Technology; Telemedicine; Testing; Texas; Time; Toxicology; Travel; Underserved Population; United States; Urine; Visit; Waiting Lists; Washington; Work; barrier to care; coronavirus disease; differences in access; digital; disparity gap; disparity reduction; economic cost; ethnic disparity; experience; hispanic community; intersectionality; mortality risk; opioid epidemic; opioid overdose; opioid use disorder; overdose death; post-COVID-19; programs; racial disparity; retention rate; safety net; trafficking; treatment disparity; underserved community; uptake; usability; waiver

This project seeks to identify factors predictive of access to OUD-related telemedicine in Houston’s underserved communities, and the impact of OUD-related telemedicine on treatment initiation and retention. The proposed research recognizes that black and Hispanic communities in Texas are at a triple disadvantage for OUD treatment considering the intersectionality of state-specific access to care barriers, cultural barriers, and the digital divide. To narrow treatment disparity gaps in these communities, it is important to include them in the research process that contributes to the development of a culturally-informed, framework to inform a pilot telemedicine champion program to advocate for, and address barriers to telemedicine use in this population. Utilizing a mixed-methods research design, the proposed work provides a multi-faceted approach to (1) better understand experiences, barriers, and facilitators, with accessing OUD-related telemedicine for treatment initiation and maintenance during waiver vs non-waiver eras, (2) develop a community-informed framework for OUD-related telemedicine, and (3) pilot an OUD-related telemedicine champion program that will serve as a model to raise awareness of, and proactively address disparities in treatment uptake and retention.

该项目旨在确定休斯顿地区获得 OUD 相关远程医疗的预测因素 服务不足的社区，以及 OUD 相关远程医疗对治疗开始和治疗的影响 保留。拟议的研究认识到德克萨斯州的黑人和西班牙裔社区的人口比例是三倍 考虑到特定州获得护理的交叉性，OUD 治疗的劣势 障碍、文化障碍和数字鸿沟。缩小这些地区的治疗差距 社区，重要的是让他们参与有助于促进 制定一个文化背景框架，为试点远程医疗冠军计划提供信息 倡导并解决该人群使用远程医疗的障碍。使用混合方法 研究设计，所提出的工作提供了一种多方面的方法（1）更好地理解 获得 OUD 相关远程医疗以启动治疗的经验、障碍和促进因素 以及在豁免与非豁免时代的维护，(2) 制定一个社区知情框架 与 OUD 相关的远程医疗，以及 (3) 试点一个与 OUD 相关的远程医疗冠军计划，该计划将服务于 作为提高认识并积极解决治疗接受和保留方面差异的典范。