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患者对通过远程医疗治疗阿片类药物使用障碍药物的满意度:简要文献综述及新评估方法的制定。

Patient Satisfaction With Medications for Opioid Use Disorder Treatment via Telemedicine: Brief Literature Review and Development of a New Assessment.

机构信息

Division of Addiction Research and Treatment, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, United States.

Life's Energy Wellness Center, Inc., 8737 Brooks Drive, Easton, MD, United States.

出版信息

Front Public Health. 2021 Jan 21;8:557275. doi: 10.3389/fpubh.2020.557275. eCollection 2020.

Abstract

Telemedicine is increasingly being used to treat patients with opioid use disorder (OUD). It has particular value in rural areas of the United States impacted by the opioid crisis as these areas have a shortage of trained addiction medicine providers. Patient satisfaction significantly impacts positive clinical outcomes in OUD treatment and thus is of great clinical interest. Yet little is known regarding patient satisfaction with the increasingly important platform of telemedicine-delivered medications for opioid use disorder (tMOUD). The goal of this review is to provide a summary of the existing literature regarding patient satisfaction with tMOUD. We also submit a novel survey based on an existing framework designed to assess tMOUD satisfaction, and present pilot data ( = 14) acquired from patients engaged in rural tMOUD care. Telemedicine provides a feasible method for delivering MOUD in rural areas, and our survey provides a useful assessment to measure patient satisfaction with tMOUD. In light of the pressing need for innovative and technology-driven solutions to the opioid epidemic (especially in light of the COVID-19 pandemic), future research should focus on the development and refinement of tools to assess the important implementation goal of patient satisfaction.

摘要

远程医疗越来越多地被用于治疗阿片类药物使用障碍(OUD)患者。在美国受阿片类药物危机影响的农村地区,远程医疗具有特别的价值,因为这些地区缺乏接受过成瘾医学培训的提供者。患者满意度对 OUD 治疗的积极临床结果有重大影响,因此具有重要的临床意义。然而,对于远程医疗提供的阿片类药物使用障碍治疗药物(tMOUD)这一日益重要的平台,患者的满意度知之甚少。本综述的目的是总结关于患者对 tMOUD 的满意度的现有文献。我们还提交了一项基于现有框架设计的新调查,旨在评估 tMOUD 的满意度,并介绍从参与农村 tMOUD 护理的患者中获得的试点数据(n = 14)。远程医疗为农村地区提供了一种可行的方法来提供 MOUD,我们的调查提供了一种有用的评估方法,可以衡量患者对 tMOUD 的满意度。鉴于需要创新和以技术为驱动的解决方案来应对阿片类药物流行(特别是在 COVID-19 大流行的背景下),未来的研究应侧重于开发和完善评估患者满意度这一重要实施目标的工具。

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