在COVID-19大流行期间在加拿大实施更安全的供应计划的挑战:定性分析
Mohammad Karamouzian1, Bijan Rafat2, Gillian Kolla3
1Centre on Drug Policy Evaluation, MAP Centre for Urban Health Solutions, St. Michael's Hospital, Toronto, ON, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
The International journal on drug policy
|August 14, 2023
概括
加拿大的安全供应计划面临组织和外部挑战. 解决这些问题对于支持受药物毒性危机影响的个人至关重要.
科学领域:
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
- 医疗保健服务研究 医疗服务研究
背景情况:
- 加拿大面临着严重的毒药危机,原因是不受监管的,受污染的药物供应.
- 安全供应计划提供处方药品替代品,以减轻过量和伤害.
- 关于这些新兴计划的实施挑战的数据有限.
研究的目的:
- 记录了在加拿大的安全供应试点计划的初始实施阶段遇到的挑战.
主要方法:
- 分析了来自不列颠哥伦比亚省,安大略省和新不伦瑞克的11个试点计划 (2020-2022) 的45份进展报告.
- 使用了演和归纳的主题分析,以实施研究的综合框架为指导.
主要成果:
- 确定了四个关键挑战主题:组织特征 (空间,人员),外部背景 (资金,不平等,公众看法),干预特征 (未满足的药物需求) 和实施过程 (流行病,高障碍模型).
结论:
- 更安全的供应计划面临着重大的内部和外部实施障碍.
- 在实施期间获得适当的支持对于计划的成功和潜在的扩展至关重要.
- 基于客户和管理员反的程序改进,以及确保药物可用性是必不可少的.
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