VA Connecticut Healthcare System, West Haven, CT, USA; Yale University, School of Medicine, Department of Psychiatry, New Haven, CT, USA.
VA Connecticut Healthcare System, West Haven, CT, USA; Yale University, School of Nursing, Orange, CT, USA.
Prev Med. 2021 Nov;152(Pt 2):106603. doi: 10.1016/j.ypmed.2021.106603. Epub 2021 May 8.
In this manuscript, we describe how efforts to increase access to buprenorphine for Opioid Use Disorder (OUD) through a telemedicine hub before and since the COVID-19 pandemic have played out in the Veterans Healthcare Administration (VHA) in New England. We look at how the COVID-19 pandemic and subsequent spike in opioid overdoses tilted the risk: benefit calculation for tele-prescribing a controlled substance such as buprenorphine toward expanding access to tele-buprenorphine. We conclude that there is a need for tele-buprenorphine hubs that can fill gaps in geographically dispersed healthcare systems.
在本文中，我们描述了在 COVID-19 大流行之前和之后，通过远程医疗中心努力增加新英格兰退伍军人医疗保健管理局（VHA）阿片类药物使用障碍（OUD）患者获得丁丙诺啡的机会的情况。我们研究了 COVID-19 大流行和随后阿片类药物过量的激增如何改变了通过远程医疗开处像丁丙诺啡这样的受控物质的风险收益计算，从而有利于扩大远程丁丙诺啡的使用。我们的结论是，需要有远程丁丙诺啡中心来填补地理上分散的医疗系统中的空白。
