当阿片类药物使用障碍的药物治疗受到临床外变量的干扰时，临床医生应如何应对？

Q2 Social Sciences

AMA journal of ethics Pub Date : 2024-07-01 DOI:10.1001/amajethics.2024.520

Taleed El-Sabawi, Kelly Gillespie

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引用次数: 0

摘要

对药物使用障碍患者的结构性和系统性歧视普遍存在。护理接受阿片类药物使用障碍（MOUDs）药物治疗的患者的临床医生应计划好因逮捕和审前监禁而可能造成的治疗中断。本病例评述表明，临床医生如果采取本评述中概述的一些实用方法，就可以减轻这种治疗中断造成的伤害，从而更好地保持对接受阿片类药物治疗的患者的持续护理。

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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When Medication Treatment for Opioid Use Disorder Gets Disrupted by Extra-Clinical Variables, How Should Clinicians Respond?

Structural and systemic discrimination against people with substance use disorder is pervasive. Clinicians caring for patients receiving medications for opioid use disorders (MOUDs) should plan for possible disruptions of treatment caused by arrests and pretrial confinement in jails. This case commentary suggests that harms caused by such treatment disruption can be mitigated by clinicians who take some of the practical approaches outlined in this commentary to better preserve continuity of care for people receiving MOUD.

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来源期刊

AMA journal of ethics Social Sciences-Health (social science)

CiteScore

1.90

自引率

0.00%

发文量

146

期刊介绍： The AMA Journal of Ethics exists to help medical students, physicians and all health care professionals navigate ethical decisions in service to patients and society. The journal publishes cases and expert commentary, medical education articles, policy discussions, peer-reviewed articles for journal-based and audio CME, visuals, and more. Since its inception as an editorially-independent journal, we promote ethics inquiry as a public good.