丁丙诺啡在一家无家可归者诊所采用共享医疗预约模式治疗阿片类药物依赖。
Buprenorphine shared medical appointments for the treatment of opioid dependence in a homeless clinic.
作者信息
Doorley Sara L, Ho Cheryl J, Echeverria Elizabeth, Preston Charles, Ngo Huy, Kamal Ahmad, Cunningham Chinazo O
机构信息
a Santa Clara Valley Medical Center , San Jose , California , USA.
b Stanford Medical Center , Stanford , California , USA.
出版信息
Subst Abus. 2017 Jan-Mar;38(1):26-30. doi: 10.1080/08897077.2016.1264535. Epub 2016 Nov 29.
BACKGROUND
Opioid misuse and dependence are prevalent and rising problems in the United States. Treatment with buprenorphine is a successful treatment option for individuals with opioid dependence. This study describes and preliminarily evaluates a unique delivery system that provides buprenorphine treatment via a shared medical appointment.
METHODS
A retrospective medical record review on all 77 opioid-dependent patients referred for a buprenorphine shared medical appointment in a homeless clinic from 2010 to 2012.
RESULTS
Most patients were currently homeless (61%), unemployed (92%), had an Axis I psychiatric diagnosis (81%), and had recent polysubstance use (53%). Of the 77 patients, 95% attended at least 1 shared medical appointment. Treatment retention at 12 and 24 weeks was 86% and 70%, respectively.
CONCLUSIONS
In a patient population with complex social and mental health histories, buprenorphine treatment via a shared medical appointment had high retention rates. Findings can help guide the development of unique delivery systems to serve real-world complex patients with opioid dependence.
背景
在美国，阿片类药物滥用和依赖是普遍且日益严重的问题。丁丙诺啡治疗是阿片类药物依赖个体的一种成功治疗选择。本研究描述并初步评估了一种通过共享医疗预约提供丁丙诺啡治疗的独特给药系统。
方法
对2010年至2012年在一家无家可归者诊所转诊接受丁丙诺啡共享医疗预约的所有77名阿片类药物依赖患者进行回顾性病历审查。
结果
大多数患者目前无家可归（61%）、失业（92%）、患有轴I精神疾病诊断（81%）且近期存在多种物质使用情况（53%）。77名患者中，95%至少参加了1次共享医疗预约。12周和24周时的治疗留存率分别为86%和70%。
结论
在具有复杂社会和心理健康史的患者群体中，通过共享医疗预约进行丁丙诺啡治疗具有较高的留存率。研究结果有助于指导开发独特的给药系统，以服务现实世界中患有阿片类药物依赖的复杂患者。
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