阿片类药物替代治疗服务模式的综述

摘要

When facing the worldwide abuse of opioid substance,one of the effective responses is opioid substitution therapy (OST).However,different OST service patterns may affect the therapeutic outcome.Using the System Engineering Initiative for Patient Safety (SEIPS) model,we can analyze the factors that affecting the outcomes of patients from the perspective work system.In this paper,SEIPS model is used to describe the existing OST service model.According to the operation mechanism of the methadone maintenance treatment in China and the existing OST service model,some suggestions are put forward to carry out effective OST service in the country.%面对全球普遍存在的阿片类物质滥用带来的危害,有效的应对措施是阿片类药物替代治疗(OST),不同的OST服务模式可能会影响治疗效果.患者安全系统工程(SEIPS)模型可以从工作系统的角度来分析影响患者结局的因素.本文通过使用SEIPS模型描述现有的OST服务模式,根据我国美沙酮维持治疗运转机制及借鉴国外现有的治疗模式提出我国开展OST服务的一些建议.