Austin Elizabeth J, O'Brien Quentin E, Ruiz Monica S, Ratzliff Anna D, Williams Emily C, Koch Ulrich
Department of Health Systems and Population Health, School of Public Health, University of Washington, Box 351621, Seattle, WA, 98105, USA.
Department of Clinical Research and Leadership, School of Medicine and Health Sciences, The George Washington University, Washington, D.C, USA.
Community Ment Health J. 2024 Feb;60(2):330-339. doi: 10.1007/s10597-023-01175-1. Epub 2023 Sep 5.
Effective treatment for opioid use disorder (OUD) is available, but patient engagement is central to achieving care outcomes. We conducted a scoping review to describe patient and provider-reported strategies that may contribute to patient engagement in outpatient OUD care delivery. We searched PubMed and Scopus for articles reporting patient and/or provider experiences with outpatient OUD care delivery. Analysis included: (1) describing specific engagement strategies, (2) mapping strategies to patient-centered care domains, and (3) identifying themes that characterize the relationship between engagement and patient-centered care. Of 3,222 articles screened, 30 articles met inclusion criteria. Analysis identified 14 actionable strategies that facilitate patient engagement and map to all patient-centered care domains. Seven themes emerged that characterize interpersonal approaches to OUD care engagement. Interpersonal interactions between patients and providers play a pivotal role in encouraging engagement throughout OUD treatment. Future research is needed to further evaluate promising engagement strategies.
虽然有针对阿片类药物使用障碍（OUD）的有效治疗方法，但患者参与是实现治疗效果的关键。我们进行了一项范围综述，以描述患者和提供者报告的可能有助于患者参与门诊OUD护理的策略。我们在PubMed和Scopus上搜索了报告患者和/或提供者在门诊OUD护理方面经历的文章。分析包括：（1）描述具体的参与策略，（2）将策略映射到以患者为中心的护理领域，以及（3）确定表征参与和以患者为中心的护理之间关系的主题。在筛选的3222篇文章中，30篇符合纳入标准。分析确定了14项促进患者参与并映射到所有以患者为中心的护理领域的可行策略。出现了七个主题，表征了OUD护理参与的人际方法。患者与提供者之间的人际互动在鼓励整个OUD治疗过程中的参与方面起着关键作用。需要进一步的研究来进一步评估有前景的参与策略。
