比利时长期使用苯二氮卓受体激动剂的一级、二级和三级预防:政策德尔菲。

IF 3.2 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Pauline Van Ngoc, Beatrice Scholtes, Jean-Luc Belche, Melissa Ceuterick
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引用次数: 0

摘要

背景:在比利时,长期使用苯二氮卓类受体激动剂(BZRAs)是一项重大的公共卫生挑战,因为相关的生理和心理依赖风险。尽管指南建议短期使用,但bzra的处方经常超过推荐的持续时间,导致长期使用和相关危害。为了解决这一问题,进行了一项政策德尔菲研究,以评估通过一级、二级和三级预防预防长期使用BZRA的目标策略。方法:本研究由一组专家组成,包括医疗保健专业人员和患者,他们参与了两轮问卷调查,以评估27项政策建议。评估了这些建议的可行性、支持性和重要性,并询问参与者是否具备实施每项建议的必要条件。这一办法的目的是找出与会者之间有共识和分歧的领域。结果:主要研究结果表明,需要针对医疗保健专业人员和公众开展宣传活动,以强调与BZRA戒断相关的风险,这是一个强烈的共识。还大力支持实施培训方案,使医疗保健提供者具备有效管理BZRA戒断所需的技能。但是,一些建议,例如增加长期后续协商的报酬和建立同侪支持的“双好友”制度,获得的同意较少,这表明这些建议需要进一步改进。结论:本研究强调了解决BZRA长期使用的复杂性,并主张采用全面、多方面的方法。这种方法应结合教育、意识和量身定制的医疗保健实践,以加强预防工作。研究结果强调了跨不同预防水平协调干预的重要性,以有效地减少比利时BZRAs的长期使用。通过完善和实施这些战略,可以大大提高在管理和减少慢性BZRA使用方面取得有意义改善的可能性,从而有助于改善公共卫生结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Primary, secondary and tertiary prevention of long-term benzodiazepine receptor agonists use in Belgium: a policy Delphi.

Background: The long-term use of benzodiazepine receptor agonists (BZRAs) poses a significant public health challenge in Belgium because of the associated risks of physical and psychological dependence. Despite guidelines recommending short-term use, BZRAs are frequently prescribed beyond the recommended duration, leading to chronic use and associated harm. To address this issue, a policy Delphi study was conducted to assess targeted strategies for preventing long-term BZRA use through the lenses of primary, secondary, and tertiary prevention.

Methods: The study involved a panel of experts, including healthcare professionals and patients, who participated in two rounds of questionnaires to evaluate 27 policy recommendations. These recommendations were assessed for feasibility, support, and importance, and participants were also asked whether the necessary conditions were in place to implement each recommendation. This approach aimed to identify areas of consensus and divergence among participants.

Results: Key findings reveal a strong consensus on the need for awareness campaigns aimed at healthcare professionals and the general public to highlight the risks associated with BZRA withdrawal. There was also significant support for implementing training programs to equip healthcare providers with the skills needed to manage BZRA withdrawal effectively. However, some recommendations, such as increasing remuneration for long follow-up consultations and establishing a peer support "benzo-buddy" system, garnered less agreement, suggesting that these proposals require further refinement.

Conclusion: This study highlights the complexity of addressing long-term BZRA use and advocates for a comprehensive, multifaceted approach. This approach should integrate education, awareness, and tailored healthcare practices to increase prevention efforts. The findings emphasise the importance of coordinated interventions across different levels of prevention to effectively mitigate long-term use on BZRAs in Belgium. By refining and implementing these strategies, the likelihood of achieving meaningful improvements in the management and reduction of chronic BZRA use could be significantly increased, contributing to better public health outcomes.

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来源期刊
Archives of Public Health
Archives of Public Health Medicine-Public Health, Environmental and Occupational Health
CiteScore
4.80
自引率
3.00%
发文量
244
审稿时长
16 weeks
期刊介绍: rchives of Public Health is a broad scope public health journal, dedicated to publishing all sound science in the field of public health. The journal aims to better the understanding of the health of populations. The journal contributes to public health knowledge, enhances the interaction between research, policy and practice and stimulates public health monitoring and indicator development. The journal considers submissions on health outcomes and their determinants, with clear statements about the public health and policy implications. Archives of Public Health welcomes methodological papers (e.g., on study design and bias), papers on health services research, health economics, community interventions, and epidemiological studies dealing with international comparisons, the determinants of inequality in health, and the environmental, behavioural, social, demographic and occupational correlates of health and diseases.
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