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首页> 外文期刊>International Journal of Environmental Research and Public Health >Opioid Substitution Treatment Planning in a Disaster Context: Perspectives from Emergency Management and Health Professionals in Aotearoa/New Zealand
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Opioid Substitution Treatment Planning in a Disaster Context: Perspectives from Emergency Management and Health Professionals in Aotearoa/New Zealand

机译：灾难背景下的阿片类药物替代治疗规划：来自新西兰奥特阿罗阿的应急管理和卫生专业人员的观点

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Opioid Substitution Treatment (OST) is a harm reduction strategy enabling opiate consumers to avoid withdrawal symptoms and maintain health and wellbeing. Some research shows that within a disaster context service disruptions and infrastructure damage affect OST services, including problems with accessibility, dosing, and scripts. Currently little is known about planning for OST in the reduction and response phases of a disaster. This study aimed to identify the views of three professional groups working in Aotearoa/New Zealand about OST provision following a disaster. In-depth, semi-structured interviews were conducted with 17 service workers, health professionals, and emergency managers in OST and disaster planning fields. Thematic analysis of transcripts identified three key themes, namely “health and wellbeing”, “developing an emergency management plan”, and “stock, dose verification, and scripts” which led to an overarching concept of “service continuity in OST preparedness planning”. Participants viewed service continuity as essential for reducing physical and psychological distress for OST clients, their families, and wider communities. Alcohol and drug and OST health professionals understood the specific needs of clients, while emergency managers discussed the need for sufficient preparedness planning to minimise harm. It is concluded that OST preparedness planning must be multidisciplinary, flexible, and inclusive.
机译：阿片类药物替代治疗（OST）是一种减少伤害的策略，可使阿片类消费者避免戒断症状并保持健康。一些研究表明，在灾难情况下，服务中断和基础架构损坏会影响OST服务，包括可访问性，剂量和脚本问题。目前，对于在灾难的减少和响应阶段计划OST知之甚少。这项研究旨在确定在奥特罗阿/新西兰工作的三个专业团体对灾难后提供OST的看法。在OST和灾难计划领域，对17位服务人员，卫生专业人员和紧急情况经理进行了深入，半结构化的采访。笔录的主题分析确定了三个关键主题，即“健康与福祉”，“制定应急管理计划”以及“库存，剂量验证和脚本”，这形成了“ OST备灾计划中的服务连续性”的总体概念。与会者认为，服务连续性对于减少OST客户，他们的家人和更广泛的社区的身心困扰至关重要。酒精，毒品和OST卫生专业人员了解客户的具体需求，而紧急情况管理人员则讨论了充分准备计划的必要性，以最大程度地减少伤害。结论是，OST准备计划必须是多学科的，灵活的和包容的。

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