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农村社区中患有残疾的非裔美国人阿片类药物使用障碍治疗障碍及远程医疗的范围综述

A Scoping Review of Opioid Use Disorder Treatment Barriers and Telehealth for African Americans with Disabilities in Rural Communities.

作者信息

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

机构信息

Langston University.

出版信息

J Rehabil. 2022;88(1):74-87.

PMID:38528879
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10961997/
Abstract

This article provided a comprehensive overview of challenges that African Americans with disabilities residing in rural areas often face in the United States when accessing telehealth treatment to mitigate opioid misuse. A scoping literature review was conducted focusing on this target population, telehealth, disabilities, opioid treatment, and rural healthcare systems. Systematic searches on eight electronic databases were carried out in line with the study's aims. The results identified treatment benefits and advantages, expansion challenges, and multicultural considerations for telehealth delivery. There may be a need to increase rehabilitation research in this area to inform needed changes in policies and practice.

摘要

本文全面概述了居住在美国农村地区的残疾非裔美国人在获得远程医疗治疗以减轻阿片类药物滥用问题时经常面临的挑战。针对这一目标人群、远程医疗、残疾、阿片类药物治疗和农村医疗系统进行了一项范围界定文献综述。根据研究目的,在八个电子数据库中进行了系统检索。结果确定了远程医疗服务的治疗益处和优势、扩展挑战以及多元文化考量。可能需要增加该领域的康复研究,以为政策和实践中所需的变革提供依据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64ce/10961997/0758ca4527cd/nihms-1930891-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64ce/10961997/ea0f1a30bb5e/nihms-1930891-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64ce/10961997/0758ca4527cd/nihms-1930891-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64ce/10961997/ea0f1a30bb5e/nihms-1930891-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64ce/10961997/0758ca4527cd/nihms-1930891-f0002.jpg

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本文引用的文献

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Challenges of addressing opioid use disorder in rural settings: A state perspective.解决农村地区阿片类药物使用障碍的挑战:州视角。
Prev Med. 2021 Nov;152(Pt 2):106519. doi: 10.1016/j.ypmed.2021.106519. Epub 2021 Aug 28.
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Community Attitudes Toward Opioid Use Disorder and Medication for Opioid Use Disorder in a Rural Appalachian County.农村阿巴拉契亚县社区对阿片类使用障碍及阿片类使用障碍药物治疗的态度。
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Health center implementation of telemedicine for opioid use disorders: A qualitative assessment of adopters and nonadopters.健康中心对阿片类药物使用障碍实施远程医疗:对采用者和未采用者的定性评估。
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The application of digital health to the assessment and treatment of substance use disorders: The past, current, and future role of the National Drug Abuse Treatment Clinical Trials Network.数字健康在物质使用障碍评估与治疗中的应用:国家药物滥用治疗临床试验网络的过去、当前及未来作用。
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Opioid use disorder.阿片类药物使用障碍。
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Childhood adversity and mental health comorbidity in men and women with opioid use disorders.童年逆境与患有阿片类药物使用障碍的男性和女性的精神健康共病。
Addict Behav. 2020 Mar;102:106149. doi: 10.1016/j.addbeh.2019.106149. Epub 2019 Oct 4.
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A systematic review of rural-specific barriers to medication treatment for opioid use disorder in the United States.对美国农村地区阿片类药物使用障碍药物治疗的特定障碍进行的系统评价。
Am J Drug Alcohol Abuse. 2020 May 3;46(3):273-288. doi: 10.1080/00952990.2019.1694536. Epub 2019 Dec 6.
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