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远程医疗在阿片类药物使用障碍治疗中的应用:扩大医疗服务可及性的政策考虑。

Telehealth in opioid use disorder treatment: policy considerations for expanding access to care.

机构信息

St. Lukes's University Hospital, Bethlehem, PA, USA.

Temple Medical School, Philadelphia, PA, USA.

出版信息

J Osteopath Med. 2023 Nov 20;124(4):179-181. doi: 10.1515/jom-2023-0215. eCollection 2024 Apr 1.

DOI:10.1515/jom-2023-0215
PMID:37976470
Abstract

The Ryan Haight Online Pharmacy Consumer Protection Act of 2008 was intended to address the online diversion of controlled substances. However, it inadvertently limited access to care for patients seeking medications for opioid use disorder (MOUD). During the COVID-19 pandemic, temporary flexibility in telemedicine prescriptions for MOUD were implemented. Now, with the conclusion of the public health emergency, policymakers need to develop strategies to maintain some of the lifted restrictions in order to maintain increased access to care for patients with opioid use disorder (OUD). One potential solution to address these issues is the implementation of a hybrid model combining outpatient clinics and telemedicine. This model offers the opportunity to maintain the benefits of telemedicine while ensuring comprehensive and safe care for OUD patients.

摘要

2008 年瑞安·海特在线药房消费者保护法案旨在解决管制物质的在线滥用问题。然而,它无意中限制了寻求阿片类药物使用障碍(MOUD)药物的患者获得治疗的机会。在 COVID-19 大流行期间,对 MOUD 的远程医疗处方实施了临时灵活性。现在,随着公共卫生紧急状态的结束,政策制定者需要制定策略来维持一些放宽的限制,以维持增加阿片类药物使用障碍(OUD)患者的治疗机会。解决这些问题的一个潜在方案是实施结合门诊和远程医疗的混合模式。这种模式提供了在确保 OUD 患者获得全面和安全治疗的同时,保留远程医疗益处的机会。

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