POSTED ON November 22, 2022 3:42 am
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Naloxone, an opioid antagonist medication, can effectively reverse opioid overdose events with limited adverse events. The young adult population, at highest risk of opioid overdose, face barriers to naloxone access. Vending machine needle exchange programs in Europe, have reported increasing reach to young adults missed by other distribution strategies. Similar harm reduction vending machine (HRVM) programs have begun in the United States and have incorporated naloxone distribution. However, little is currently known about HRVM acceptability in young U.S. adults and what factors may contribute to reach. We conducted interviews with young adults to explore factors contributing to obtaining naloxone under current, ideal and HRVM distribution strategies.
Among the high-profile healthcare providers who are ditching their yearly vacation to the Caribbean or to Europe is Dr. Arnold J. Rube, 92, the great-uncle of Sen. Ted Cruz, R-Texas. Rube, chairman of a medical practice in a suburb of Orlando, Fla., said he made the decision after suffering a stroke last year and realizing that “it would be very difficult to take a real vacation at this time.” “Walking out of the plane at the airport, I was smiling, but I have no idea how it’s going to go. I’m in a wheelchair.
H.M. Ismail: None. E.K. Sims: None. S. Geyer: None. M.J. Redondo: None. C. Evans-Molina: None; Johnson and Johnson.Abebebebebebebebebebebebebebebebebcdnavigationeurope2018 v6 education cd2 v7 navigation uk map europe bcs bcd navigation europe.
Results. We selected a sample of 12 high-volume and low-volume OB/GYN practices in North Carolina. Physicians and nurse practitioners were randomly selected from a database of all physicians and nurse practitioners affiliated with Obstetrics and Gynecology in the state. Members of the data collection team included 9 nurse navigators, 1 research nurse, 1 IRB representative, 1 research study coordinator, and 1 data manager who had no clinical involvement with the sites. We used a postcard survey, similar to methods in previous studies (4,9). Respondents were asked to complete a 32-item survey addressing navigator and practice characteristics; ability and preparedness to use navigators; barriers to use and attitudes towards the use of navigators; and strategies to use navigators. They also were asked to report the total number of navigated patients and the total number of navigated patients with navigation on their chart in the past 6 months. We compared navigator and practice-level characteristics and ability and preparedness to use navigators. We then compared the total number of navigated patients and the total number of navigated patients with navigation on the chart in the past 6 months. We also compared the types of reports, presentation of results, and improvement in communication between providers and patients. We conducted interviews with physicians and nurse practitioners to gain an understanding of use and barriers to use of navigators. Total interview time averaged 45 minutes.
A. Small, low-volume practices had a mean of 2.8 navigated patients per month (range 1-6) and a mean of 0.6 navigated patients with navigation on their chart in the past 6 months (range 0-3). Large, high-volume practices had a mean of 6.6 navigated patients per month (range 5-12) and a mean of 9.9 navigated patients with navigation on their chart in the past 6 months (range 6-23). Only 1 small practice had navigated patients with navigation on their chart in the past 6 months.