Patients, Populations, AND Processes: Multidisciplinary Approaches to Addiction Health Services Improvement

患者、人群和流程：改善成瘾卫生服务的多学科方法

• 批准号: 10000869
• 负责人: Randall T Brown
• 金额: $ 1.5万
• 依托单位: UNIVERSITY OF WISCONSIN-MADISON
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-01 至 2022-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10000869
• 关键词: Address; Alcohol or Other Drugs use; Americas; Area; Award; Collaborations; Communities; Development; Disease; Engineering; Epidemic; Epidemiology; Funding; Future; HIV risk; Health Personnel; Health Services; Health Services Research; Industrialization; Mainstreaming; Medicine; Mentors; Modeling; National Institute of Drug Abuse; Patients; Personal Satisfaction; Policy Maker; Population Process; Prevention Research; Primary Health Care; Psychology; Public Health; Reporting; Research; Research Personnel; Scientist; Services; Social Work; Specialist; Substance Use Disorder; Surgeon; System; Tobacco Use Cessation; Travel; United States; addiction; career; cost; design; disadvantaged population; ethnic minority population; gender minority; health disparity; improved; interdisciplinary approach; interest; minority investigator; multidisciplinary; patient population; prescription opioid; prevent; prevention service; programs; public health relevance; recruit; safety outcomes; service delivery; service gap; substance abuse treatment; substance misuse; symposium; treatment services

Summary/Abstract The recent report issued by the Surgeon General's Office, “Facing Addiction in America,” the first of its kind issued by the Surgeon General, brought into stark relief the major impact of substance misuse and use disorders and the need to rethink how prevention and treatment services are currently delivered in the United States. While isolated aspects of substance misuse are improving, such as tobacco cessation and opioid prescribing practices, enormous service gaps persist that allow the ongoing and enormous negative impacts of risky and problem substance use. Further, these negative impacts put a particular burden on gender and ethnic minorities and other disadvantaged populations and communities. The isolation of specialist substance abuse treatment from mainstream medicine, the report further points out, presents a barrier to a potentially more effective public health model to reduce substance-related harms. If this landscape of epidemic substance misuse, use disorders, and related conditions is to improve and patient and public health and safety outcomes enhanced, prevention and treatment services delivery require rethinking. The Addiction Health Services Research conference, held since 2005, has annually brought together researchers, policy makers, and treatment providers to focus upon how such systems redesign might most effectively be implemented and sustained. In the current application, we propose to enhance this conference by specifically focusing on improving the well-being of gender and ethnic minorities and other marginalized groups struggling with risky and problem substance use and by encouraging participation by underrepresented scientists through establishment of a NIDA Minority Investigator Award and enhancement of a junior investigator mentoring program. A slate of distinguished plenary speakers, discussion of cutting-edge health services research findings, the development of collaborative relationships, and support of the careers of junior and minority investigators is proposed to move forward an agenda of broadening the positive impact of prevention and treatment services for substance misuse and use disorders.

摘要/摘要 卫生局局长办公室最近发布的报告《美国面临成瘾问题》是此类报告中的第一份 由卫生局局长发布，凸显了药物滥用和使用的重大影响 疾病以及重新思考美国目前如何提供预防和治疗服务的必要性 国家。虽然药物滥用的个别方面正在改善，例如戒烟和阿片类药物 处方实践中，巨大的服务差距仍然存在，导致持续的巨大负面影响 有风险和有问题的物质使用。此外，这些负面影响给性别和性别带来了特殊的负担 少数民族和其他弱势群体和社区。 报告进一步指出，专业药物滥用治疗与主流医学相分离， 为减少物质相关危害的潜在更有效的公共卫生模式设置了障碍。如果这个 流行性物质滥用、使用障碍和相关状况的现状是改善患者和 公共卫生和安全成果得到加强，预防和治疗服务的提供需要重新思考。 成瘾健康服务研究会议自 2005 年开始举办，每年都会聚集 研究人员、政策制定者和治疗提供者应关注如何重新设计此类系统最有可能 得到有效落实和持续。在目前的申请中，我们建议加强这次会议 特别注重改善性别、少数民族和其他边缘化群体的福祉 与危险和有问题的药物使用作斗争的群体，并鼓励代表性不足的人参与 通过设立 NIDA 少数族裔研究员奖和增强青年科学家的能力 研究者指导计划。众多杰出的全体会议发言人，讨论前沿健康 服务研究成果、合作关系的发展以及对初级人员职业生涯的支持 建议少数族裔调查员推进扩大积极影响的议程 药物滥用和使用障碍的预防和治疗服务。