美国印第安人卫生服务局疼痛管理与阿片类物质使用障碍培训评估
Evaluation of American Indian Health Service Training in Pain Management and Opioid Substance Use Disorder.
作者信息
Katzman Joanna G, Fore Chris, Bhatt Snehal, Greenberg Nina, Griffin Salvador Julie, Comerci George C, Camarata Christopher, Marr Lisa, Monette Rebecca, Arora Sanjeev, Bradford Andrea, Taylor Denise, Dillow Jenny, Karol Susan
机构信息
Joanna G. Katzman is with the Department of Neurosurgery, University of New Mexico (UNM) School of Medicine, Albuquerque. Christopher Fore is with the Indian Health Service (IHS), Telebehavioral Health Center of Excellence, Albuquerque, NM. Snehal Bhatt and Julie Griffin Salvador are with the Department of Psychiatry, UNM School of Medicine. Nina Greenberg is with the Mathematics and Statistics Department, UNM. George C. Comerci and Lisa Marr are with the Department of Internal Medicine, UNM School of Medicine. Christopher Camarata is with the Department of Family Medicine, UNM School of Medicine. Rebecca Monette, Sanjeev Arora, and Andrea Bradford are with Project ECHO (Extension for Community Healthcare Outcomes), UNM School of Medicine. Denise Taylor is with the Department of Pediatrics, UNM School of Medicine. Jenny Dillow is with the Department of Anesthesia, UNM School of Medicine. Susan Karol is with IHS, US Health and Human Services, Rockville, MD.
出版信息
Am J Public Health. 2016 Aug;106(8):1427-9. doi: 10.2105/AJPH.2016.303193. Epub 2016 May 19.
We examined the benefits of a collaboration between the Indian Health Service and an academic medical center to address the high rates of unintentional drug overdose in American Indians/Alaska Natives. In January 2015, the Indian Health Service became the first federal agency to mandate training in pain and opioid substance use disorder for all prescribing clinicians. More than 1300 Indian Health Service clinicians were trained in 7 possible 5-hour courses specific to pain and addiction. We noted positive changes in pre- and postcourse knowledge, self-efficacy, and attitudes as well as thematic responses showing the trainings to be comprehensive, interactive, and convenient.
我们研究了印第安卫生服务局与一家学术医疗中心合作的益处，以解决美国印第安人/阿拉斯加原住民中意外药物过量的高发生率问题。2015年1月，印第安卫生服务局成为首个要求所有开处方的临床医生接受疼痛和阿片类物质使用障碍培训的联邦机构。1300多名印第安卫生服务局的临床医生参加了7门可能为期5小时的、专门针对疼痛和成瘾的课程培训。我们注意到课程前后在知识、自我效能和态度方面有积极变化，以及主题回应表明这些培训全面、互动且方便。
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