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由高级执业提供者主导的针对怀孕和育儿女性的阿片类物质使用障碍药物治疗项目

Advanced Practice Provider-Led Medication for Opioid Use Disorder Programs for Pregnant and Parenting Women.

作者信息

Pressley Byrd Dolly, Galvin Shelley, Ramage Melinda, Johnson Elisabeth

机构信息

Ob/Gyn Specialists, Mountain Area Health Education Center (MAHEC), Asheville, North Carolina.

Project CARA, Mountain Area Health Education Center (MAHEC), Asheville, North Carolina.

出版信息

J Midwifery Womens Health. 2022 May;67(3):384-393. doi: 10.1111/jmwh.13372. Epub 2022 May 6.

Abstract

This article describes 2 innovative models of advanced practice provider-led medication for opioid use disorder treatment programs offering comprehensive, interprofessional care for pregnant patients and provides implications for broader adaptation of practice. Increasing the number of midwives and nurse practitioners waivered to prescribe buprenorphine and able to connect pregnant patients with opioid use disorder to appropriate community-based resources, treatment, and self-help programs could address alarming substance use trends including overdose deaths and other sequelae associated with the opioid epidemic.

摘要

本文介绍了两种由高级执业提供者主导的创新模式,用于阿片类药物使用障碍治疗项目,为孕妇提供全面的跨专业护理,并探讨了更广泛应用该实践模式的意义。增加获得开具丁丙诺啡豁免权、能够将患有阿片类药物使用障碍的孕妇与适当的社区资源、治疗及自助项目相联系的助产士和执业护士数量,可能有助于应对令人担忧的物质使用趋势,包括过量用药死亡以及与阿片类药物流行相关的其他后遗症。

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