Caring for Hospitalized Patients with Substance Use Disorders: An Interprofessional Needs Assessment Survey

American journal of medicine open Pub Date : 2025-08-20 DOI:10.1016/j.ajmo.2025.100116

M. Holliday Davis , Judy Chertok , Shoshana Aronowitz , Rachel French , Jeanmarie Perrone , Ashish P Thakrar , Samantha Huo , Jacqueline Deanna Wilson , Nia Bhadra-Heintz , Lilah Lesniak , Aidan Hecker , Jessica Tolbert , Margaret Lowenstein

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引用次数: 0

Abstract

Background

Hospitalizations among people who use drugs (PWUD) are increasing, and addiction consult services (ACS) are an emerging best practice for improving care.

Methods

We conducted a web-based needs assessment survey of physicians, advanced practice providers (APP), and nurses at a Philadelphia academic hospital in March 2023 before implementing an ACS. We assessed knowledge gaps, barriers to care, and perceived service needs.

Results

Of 472 clinicians surveyed, 236 responded (50% response rate). Participants felt most prepared to assess withdrawal and diagnose or recognize substance use disorders (SUDs) but lacked confidence in care linkage and harm reduction. Reported barriers included patient social needs, resource availability, and lack of expert consultation.

Conclusions

While most participants agreed that SUDs are treatable, many reported compromised patient care due to inadequate support as well as burnout associated with caring for PWUD. Future work should examine whether ACSs address the perceived barriers to care for hospitalized PWUD while supporting clinicians.

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药物使用障碍住院患者的护理：跨专业需求评估调查

背景：吸毒者的住院治疗（PWUD）正在增加，成瘾咨询服务（ACS）是改善护理的新兴最佳实践。方法在实施ACS之前，我们于2023年3月对费城一家学术医院的医生、高级执业医师（APP）和护士进行了基于网络的需求评估调查。我们评估了知识差距、护理障碍和感知到的服务需求。结果在调查的472名临床医生中，236名有应答（应答率50%）。参与者认为最准备评估戒断和诊断或识别物质使用障碍（sud），但缺乏对护理联系和减少伤害的信心。报告的障碍包括患者的社会需求、资源可用性和缺乏专家咨询。结论：虽然大多数参与者同意sud是可以治疗的，但许多人报告由于支持不足以及与PWUD护理相关的倦怠而损害了患者护理。未来的工作应该检查ACSs是否在支持临床医生的同时解决了住院PWUD护理的感知障碍。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American journal of medicine open Medicine and Dentistry (General)

自引率

0.00%

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审稿时长

47 days