非强化门诊治疗中阿片类药物使用障碍和滞留:支付来源的作用

IF 1.4 4区社会学 Q2 SOCIAL WORK

Journal of Social Service Research Pub Date : 2022-12-16 DOI:10.1080/01488376.2022.2156972

E. Park, Orrin D. Ware, J. Cheon

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引用次数: 0

摘要

由于阿片类药物相关的高死亡率，美国阿片类药物使用障碍(OUD)患者的公共卫生问题有所增加。治疗OUD的药物已被证明是有效的。本横断面研究利用了2018年治疗发作数据集-未完成治疗的非重症门诊服务机构中患有OUD的出院发作的出院情况(n = 30,826)。采用随机系数模型检验了计划使用模式与住院时间的关系，以及计划使用模式与支付来源对住院时间的交互作用。研究结果表明，在未完成治疗的治疗期中，计划使用mod与更长的治疗维持时间相关，并且付款来源类型对治疗维持时间有不同的影响。讨论了对未来研究和社会服务实践的影响，重点是增加治疗的可及性，并考虑到OUD服务基础设施的差异。

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Medications for Opioid Use Disorder and Retention in Non-Intensive Outpatient Treatment: The Role of Payment Source

Abstract Public health concerns regarding individuals with opioid use disorder (OUD) in the United States have increased due to high opioid-related mortality. Medications for OUD (MOUD) have been proven to be effective. This cross-sectional study utilized the 2018 Treatment Episode Data Set-Discharges for discharge episodes with OUD in non-intensive outpatient service settings that did not complete treatment (n = 30,826). The association between planned use of MOUD and length of stay, and the interaction between planned use of MOUD and payment sources on length of stay were examined by using a random coefficient model. Findings indicated that among treatment episodes with non-completed treatment, planned use of MOUD was associated with longer treatment retention, and the type of payment source had different effects on treatment retention. Implications for future research and social service practice are discussed, focusing on increasing access to treatment and considering the disparity in service infrastructure for OUD.

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来源期刊

Journal of Social Service Research SOCIAL WORK-

CiteScore

2.70

自引率

6.20%

发文量

期刊介绍： The Journal of Social Service Research is exclusively devoted to empirical research and its application to the design, delivery, and management of the new social services. The Journal focuses on outcomes-based research and practice, and clearly presents the different types of funded and non-funded state-of-the-art research being carried out in the field. Each issue effectively highlights both the quantitative and qualitative methodologies. Contributors from the national and international social service arenas provide an important and critical basis for management and policy decisions in a wide variety of social service settings.