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接受阿片类物质使用障碍远程医疗治疗的个体对虚拟背景、临床医生着装及患者体验的偏好

Virtual Backgrounds, Clinician Attire, and Patient Experience Preferences Among Individuals Receiving Telemedicine Treatment for Opioid Use Disorder.

作者信息

Lira Marlene C, Hendy Lauren E, Olguin Amanda, Jimes Cynthia, Mulford Clare, Davis Karisa, Banks Daniel, Coffey M Justin

机构信息

Workit Health Clinic, Ann Arbor, MI, USA.

DrPH Program, Health Policy, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

出版信息

J Patient Exp. 2025 Jul 23;12:23743735251361584. doi: 10.1177/23743735251361584. eCollection 2025.

DOI:10.1177/23743735251361584
PMID:40718461
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12290343/
Abstract

Telemedicine is a growing treatment modality for opioid use disorder and can offer greater privacy, flexibility, and agency to patients who have experienced stigmatizing behavior in other treatment settings. Designing a welcoming and respectful virtual environment is one mechanism for creating a patient-centered experience, yet to date, patient preferences for telemedicine treatment for opioid use disorder have not been evaluated. We conducted a cross-sectional study to assess patient perspectives on Zoom backgrounds and provider attire among individuals receiving telemedicine treatment for opioid use disorder at a multi-state practice. A total of 601 patients participated in the study, of whom 60.4% were female and the average age was 41.4 years. Nearly 60% of respondents preferred real backgrounds during virtual visits. The majority of respondents did not have a preference for provider attire with the remaining respondents preferring casual attire to business casual or formal attire. Overall, we found that individuals with opioid use disorder prefer authenticity in backgrounds and personalized attire to establish trust and open communication in telemedicine.

摘要

远程医疗是治疗阿片类药物使用障碍日益常用的一种方式,对于那些在其他治疗环境中曾遭遇过歧视行为的患者而言,它能提供更高的隐私性、灵活性和自主性。设计一个温馨且受尊重的虚拟环境是打造以患者为中心体验的一种方式,然而迄今为止,尚未对患者对于阿片类药物使用障碍远程医疗治疗的偏好进行评估。我们开展了一项横断面研究,以评估在一个多州医疗机构接受阿片类药物使用障碍远程医疗治疗的个体对于Zoom背景和医护人员着装的看法。共有601名患者参与了该研究,其中60.4%为女性,平均年龄为41.4岁。近60%的受访者在虚拟就诊时更喜欢真实背景。大多数受访者对医护人员着装没有偏好,其余受访者更喜欢休闲着装而非商务休闲装或正装。总体而言,我们发现患有阿片类药物使用障碍的个体更喜欢真实的背景和个性化着装,以便在远程医疗中建立信任并展开坦诚交流。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00b0/12290343/6476190d3b9d/10.1177_23743735251361584-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00b0/12290343/6476190d3b9d/10.1177_23743735251361584-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00b0/12290343/6476190d3b9d/10.1177_23743735251361584-fig1.jpg

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本文引用的文献

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Satisfaction with Telehealth Treatment for Opioid Use Disorder Among Individuals Living in Rural and Nonrural Areas.农村和非农村地区阿片类物质使用障碍患者对远程医疗治疗的满意度
Telemed J E Health. 2025 Aug;31(8):1039-1046. doi: 10.1089/tmj.2024.0598. Epub 2025 Mar 27.
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The Association Between Telehealth Use During Buprenorphine Treatment for Opioid Use Disorder and Clinical Outcomes: A Retrospective Cohort Study.丁丙诺啡治疗阿片类物质使用障碍期间远程医疗的使用与临床结局之间的关联:一项回顾性队列研究。
Telemed J E Health. 2025 Mar;31(3):257-268. doi: 10.1089/tmj.2024.0410. Epub 2024 Nov 25.
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Patient perceptions of and experiences with stigma using telehealth for opioid use disorder treatment: a qualitative analysis.
患者对使用 telehealth 治疗阿片类药物使用障碍的污名化的看法和体验:一项定性分析。
Harm Reduct J. 2024 Jun 27;21(1):125. doi: 10.1186/s12954-024-01043-5.
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Patient Preferences for Telemedicine Video Backgrounds.患者对远程医疗视频背景的偏好。
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Barriers to opioid use disorder treatment among people who use drugs in the rural United States: A qualitative, multi-site study.美国农村地区药物使用人群中阿片类使用障碍治疗障碍:一项定性、多地点研究。
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Is there a disparity in medications for opioid use disorder based on race/ethnicity and gender? A systematic review and meta-analysis.基于种族/民族和性别,阿片类药物使用障碍的药物治疗是否存在差异?系统评价和荟萃分析。
Res Social Adm Pharm. 2024 Mar;20(3):236-245. doi: 10.1016/j.sapharm.2023.12.001. Epub 2023 Dec 7.
7
Trends in Opioid Toxicity-Related Deaths in the US Before and After the Start of the COVID-19 Pandemic, 2011-2021.2011-2021 年美国 COVID-19 大流行前后阿片类药物毒性相关死亡趋势。
JAMA Netw Open. 2023 Jul 3;6(7):e2322303. doi: 10.1001/jamanetworkopen.2023.22303.
8
Retention in Telehealth Treatment for Opioid Use Disorder Among Rural Populations: A Retrospective Cohort Study.农村地区阿片类药物使用障碍的远程医疗治疗保留率:一项回顾性队列研究。
Telemed J E Health. 2023 Dec;29(12):1890-1896. doi: 10.1089/tmj.2023.0044. Epub 2023 May 15.
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Association of Receipt of Opioid Use Disorder-Related Telehealth Services and Medications for Opioid Use Disorder With Fatal Drug Overdoses Among Medicare Beneficiaries Before and During the COVID-19 Pandemic.医疗保险受益人与新冠疫情大流行之前和期间阿片类药物使用障碍相关远程医疗服务和阿片类药物使用障碍药物治疗与致命药物过量的关联。
JAMA Psychiatry. 2023 May 1;80(5):508-514. doi: 10.1001/jamapsychiatry.2023.0310.
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JAMA Psychiatry. 2022 Oct 1;79(10):981-992. doi: 10.1001/jamapsychiatry.2022.2284.