阿片类药物使用障碍药物辅助治疗的获取和参与方面的性别差异-猫眼课题宝

阿片类药物使用障碍药物辅助治疗的获取和参与方面的性别差异

批准号：

10442057

负责人：

Erick Guerrero

金额：

$13.86万

依托单位：

UNIVERSITY OF CHICAGO

依托单位国家：

美国

项目类别：

财政年份：

2019

资助国家：

美国

项目状态：

已结题

起止时间：

2019-07-01 至 2023-04-30

来源：

https://reporter.nih.gov/project-details/10442057

关键词：

Administrative Supplement African American COVID-19 COVID-19 pandemic Caring Certification Communities Competence Country County Data Disabled Persons Epidemic Evidence based practice Exploration, Preparation, Implementation, and Sustainment Face Fibrinogen Funding Gender Health Health Personnel Health Policy Health Professional Health Services Health Services Accessibility Individual Interview Knowledge Latino Lead Leadership Licensing Los Angeles Low income Medicaid Minority Groups National Institute of Drug Abuse Opioid Peer Review Pharmaceutical Preparations Phase Preparation Provider Public Health Publications Qualitative Methods Quality of Care Race Regulation Reporting Research Research Personnel Resources Role Sampling Scientist Services Social Processes Social Work Substance Use Disorder System Thinking Trust United States Woman Work addiction base cultural competence design differences in access disparity elimination disparity reduction ethnic difference ethnic minority population evidence base experience gender difference gender disparity health equity health equity promotion implementation facilitators implementation framework implementation process improved innovation interest medication-assisted treatment minority communities mortality mortality risk opioid epidemic opioid overdose opioid use opioid use disorder parent grant prescription opioid programs public health relevance racial and ethnic racial minority response social standard of care substance use sustainability framework symposium theories treatment disparity treatment program underserved community

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中文摘要

翻译

项目总结/摘要为了响应特别关注通知（NOT-DA-21-044），强调迫切需要开展实质性工作，利用研究和促进健康公平，我们寻求加强父母补助金工作，“性别差异参与阿片类药物使用障碍的药物辅助治疗。”基于我们的量化关于阿片类药物治疗中获得、保留和治疗完成方面的性别和种族/族裔差异的发现，我们建议使用定性数据，以加强识别的障碍，促进者和战略，实施护理标准（包括药物、综合保健/社会和照顾到文化需要的保健），以减少妇女和种族/族裔之间的差距，洛杉矶县的少数民族。我们将使用（1）的理论来检查实施过程专业知识和（2）分阶段实施（EPIS框架-勘探准备，实施和维持）以及定性方法。我们将收集，分析和解释定性数据，从30 提供者在这些社区，并确定战略，以改善实施循证 OUD治疗的护理标准。我们还将使用这些数据来丰富和赋予意义的定量研究结果在父母补助金，并最终有助于减少差距和促进卫生公平，在低资源社区治疗OUD。

英文摘要

PROJECT SUMMARY/ABSTRACT In response to Notice of Special Interest (NOT-DA-21-044) highlighting the urgent need to conduct substance use research and to promote health equity, we seek to strengthen work on the parent grant, “Gender differences in access and engagement in medication-assisted treatment for opioid use disorder.” Building on our quantitative findings on gender and race/ethnic differences in access, retention and treatment completion in opioid treatment, we propose to use qualitative data to enhance identification of barriers, facilitators and strategies in the implementation of a standard of care (that includes components of medication, comprehensive health/social and culturally responsive care) to reduce disparities and improve health equity among women and race/ethnic minority groups in Los Angeles County. We will examine the implementation process using theories of (1) expertise and (2) phased implementation (EPIS framework-Exploration Preparation, Implementation and Sustainment) as well as qualitative methods. We will collect, analyze and interpret qualitative data from 30 providers in these communities and identify strategies to improve the implementation of the evidence-based standard of care for OUD treatment. We also will use these data to enrich and give meaning to the quantitative findings in the parent grant and ultimately contribute to reducing disparities and promotion of health equity in treatment for OUD in low resource communities.

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