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患有阿片类药物使用障碍和残疾的农村非裔美国人使用远程医疗治疗的影响因素。

Factors in Utilization of Telehealth Treatment by Rural African-Americans with Opioid Use Disorder and Disabilities.

作者信息

McCray Sharesa H, Uhunoma Osaretin, Starr Renee, Manyibe Edward O, Ole Koissaba Ben R, Ward-Sutton Courtney, Lewis Allen N, Moore Corey L

机构信息

Langston University.

SUNY Downstate Health Sciences University.

出版信息

J Rehabil. 2022;88(1):87-95.

PMID:38528877
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10961992/
Abstract

This study explored factors that impact telehealth service utilization for treatment of African Americans with disabilities with opioid use disorder in rural communities. A focus group was conducted involving 12 different mental health, substance use, and rehabilitation counseling professionals. The analysis was completed using NVivo (Version 12). The results identified critical barriers that included historical distrust of technology and healthcare systems, digital divide/unavailability of Internet modems, fear of losing confidentiality, and agency non-approval. The benefits were improved communication, reduction of stigma, continuity of care, and convenience of collaboration. The findings indicate the need for additional research in this topic area.

摘要

本研究探讨了影响农村社区患有阿片类药物使用障碍的非裔美国残疾人士利用远程医疗服务进行治疗的因素。开展了一次焦点小组讨论,参与人员包括12名不同的心理健康、物质使用和康复咨询专业人员。使用NVivo(第12版)完成了分析。结果确定了关键障碍,包括对技术和医疗系统的历史不信任、数字鸿沟/互联网调制解调器不可用、对失去保密性的担忧以及机构不批准。益处包括改善沟通、减少耻辱感、护理连续性和协作便利性。研究结果表明需要对该主题领域进行更多研究。

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本文引用的文献

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Substance Use Disorders and Telehealth in the COVID-19 Pandemic Era: A New Outlook.物质使用障碍与新冠疫情时代的远程医疗:新视角。
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Policies to Improve Substance Use Disorder Treatment With Telehealth During the COVID-19 Pandemic and Beyond.在新冠疫情期间和之后改善使用远程医疗改善物质使用障碍治疗的政策。
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The Role of Telehealth in Reducing the Mental Health Burden from COVID-19.远程医疗在减轻新冠疫情所致心理健康负担方面的作用
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Using Smartphones to Improve Treatment Retention Among Impoverished Substance-Using Appalachian Women: A Naturalistic Study.使用智能手机提高阿巴拉契亚贫困吸毒女性的治疗依从性:一项自然主义研究。
Subst Abuse. 2019 Jul 8;13:1178221819861377. doi: 10.1177/1178221819861377. eCollection 2019.
8
Telemedicine-delivered treatment interventions for substance use disorders: A systematic review.远程医疗提供的物质使用障碍治疗干预措施:系统评价。
J Subst Abuse Treat. 2019 Jun;101:38-49. doi: 10.1016/j.jsat.2019.03.007. Epub 2019 Mar 21.
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Addressing the Rural Opioid Addiction and Overdose Crisis Through Cross-Sector Collaboration: Little Falls, Minnesota.通过跨部门合作应对农村阿片类药物成瘾和过量危机:明尼苏达州利特尔福尔斯。
Am J Public Health. 2019 Feb;109(2):260-262. doi: 10.2105/AJPH.2018.304789. Epub 2018 Dec 20.
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The Opioid Crisis in Black Communities.黑人社群的阿片类药物危机。
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