Mahmoud Hossam, Vogt Emily
Tufts University School of Medicine, 4525 N Ravenswood Ave #201, Chicago, IL, 60640, USA.
Department of Neurobiology, Northwestern University, 2205 Tech Drive, Evanston, IL, 60208, USA.
J Behav Health Serv Res. 2019 Oct;46(4):680-685. doi: 10.1007/s11414-018-9611-1.
The opioid epidemic faced by the USA is a complex public health crisis, with staggering loss of life and overwhelming social, health, and economic costs. Despite the rising need for medication-assisted treatment, individuals struggling with opioid use continue to face multiple barriers hindering their access to care, particularly in rural areas. Innovative approaches to enhance access to treatment are needed. Telepsychiatry has proven to be effective and economical across multiple settings and psychiatric diagnoses, including opioid use disorder. As the implementation of telepsychiatry continues to expand, this method of healthcare delivery offers significant opportunities to overcome several barriers to access patients with opioid use disorder face. While addressing the opioid crisis will require multifaceted efforts involving multiple stakeholders and different approaches, a comprehensive strategy must incorporate the adoption of telepsychiatry as an innovative approach to overcoming barriers to treatment and enhancing access to care.
美国面临的阿片类药物流行是一场复杂的公共卫生危机,造成了惊人的生命损失以及巨大的社会、健康和经济成本。尽管对药物辅助治疗的需求不断增加,但与阿片类药物使用作斗争的个人仍面临多重障碍,阻碍他们获得治疗,尤其是在农村地区。需要创新方法来增加治疗机会。远程精神病学已被证明在多种环境和精神疾病诊断中都是有效且经济的,包括阿片类药物使用障碍。随着远程精神病学的实施不断扩大,这种医疗服务提供方式为克服阿片类药物使用障碍患者面临的几个就医障碍提供了重大机遇。虽然应对阿片类药物危机需要多方利益相关者参与的多方面努力和不同方法,但全面战略必须将采用远程精神病学作为一种创新方法纳入其中,以克服治疗障碍并增加获得护理的机会。