Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, USA; Department of Epidemiology, Brown University School of Public Health, Providence, RI, USA; Center for Health Promotion and Health Equity, Brown University, Providence, RI, USA; The Fenway Institute, Fenway Health, Boston, MA, USA.
VICTA, Providence, RI, USA.
J Subst Abuse Treat. 2021 Jan;120:108163. doi: 10.1016/j.jsat.2020.108163. Epub 2020 Oct 9.
Historically, federal and state policies have narrowly defined treatment models that have resulted in limited access to and engagement in counseling for individuals receiving medications for opioid use disorder (MOUD; e.g., methadone and buprenorphine). In response to the coronavirus pandemic, outpatient MOUD treatment providers rapidly transitioned from traditional, in-person care delivery models to revised COVID-19 protocols that prioritized telehealth counseling to protect the health of patients and staff and ensure continuity in MOUD care. These telehealth innovations appear to mitigate many of the longstanding barriers to counseling in the traditional system and have the potential to forever alter MOUD care delivery. Drawing on data from a Rhode Island-based clinic, we argue that MOUD counseling is achievable via telehealth and outline the need for, and anticipated benefits of, hybrid telehealth/in-person MOUD treatment models moving forward.
从历史上看，联邦和州政策狭隘地定义了治疗模式，这导致接受阿片类药物使用障碍（MOUD；例如美沙酮和丁丙诺啡）药物治疗的个人获得咨询服务的机会有限，参与度也有限。为应对冠状病毒大流行，门诊 MOUD 治疗提供者迅速从传统的面对面护理模式转变为修订后的 COVID-19 方案，优先提供远程医疗咨询，以保护患者和工作人员的健康，并确保 MOUD 护理的连续性。这些远程医疗创新似乎缓解了传统系统中许多长期存在的咨询障碍，并有可能彻底改变 MOUD 护理的提供方式。基于罗得岛一家诊所的数据，我们认为远程医疗可以实现 MOUD 咨询，并概述了未来混合远程医疗/面对面 MOUD 治疗模式的必要性和预期收益。
