晚年物质滥用：初级保健面临的挑战：政策与证据综述
Substance misuse in later life: challenges for primary care: a review of policy and evidence.
作者信息
Rao Rahul, Crome Ilana, Crome Peter, Iliffe Steve
机构信息
Consultant Old Age Psychiatrist, South London and Maudsley NHS Foundation Trust, London, UK.
Visiting Researcher, Institute of Psychiatry, London, UK.
出版信息
Prim Health Care Res Dev. 2019 Jun 20;20:e117. doi: 10.1017/S1463423618000440.
BACKGROUND
Substance misuse in older people represents a growing clinical and public health problem within primary care.
AIM
The aim of article is to explore policy and research evidence for informing best practice in the assessment, treatment effectiveness, treatment implementation and approaches to recovery for older people with substance misuse in primary care.
METHODS
Relevant search terms were used to examine the databases MEDLINE, EMBASE, CINAHL and PsychINFO up to January 2016.
RESULTS
An age-sensitive approach is required to overcome barriers to assessment. Training is essential for developing relevant knowledge, skills and attitudes. Clinical audit be used to develop care pathways, particularly for older people with dual diagnosis. There is also a need to develop closer links between primary care and the secondary care specialties, as well as added value in working with carers and voluntary agencies.
DISCUSSION
Further research is needed to inform more effective approaches to treatment. Adequate funding for workforce development and quality improvement in service development are also essential to improve health outcomes and quality of life in older people with substance misuse.
背景
老年人药物滥用在初级保健领域已成为一个日益严重的临床和公共卫生问题。
目的
本文旨在探讨政策和研究证据，为初级保健中药物滥用老年人的评估、治疗效果、治疗实施及康复方法提供最佳实践依据。
方法
截至2016年1月，使用相关检索词对MEDLINE、EMBASE、CINAHL和PsychINFO数据库进行检索。
结果
需要采用对年龄敏感的方法来克服评估障碍。培训对于培养相关知识、技能和态度至关重要。临床审计可用于制定护理路径，尤其是针对双重诊断的老年人。还需要在初级保健和二级保健专科之间建立更紧密的联系，以及在与护理人员和志愿机构合作方面增加价值。
讨论
需要进一步研究以提供更有效的治疗方法。为劳动力发展和服务发展中的质量改进提供充足资金对于改善药物滥用老年人的健康结果和生活质量也至关重要。
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