了解注射毒品的人的医疗保健参与
Omeid Heidari1, Abigail Winiker2, Derek T Dangerfield3
1Department of Child, Family, and Population Health Nursing, School of Nursing, University of Washington, Seattle, Washington, USA.
Research in nursing & health
|November 20, 2023
概括
对注射毒品 (PWID) 的人来说,与医疗保健服务的接触对于管理慢性疾病和心理健康状况至关重要. 积极的患者-提供者关系和综合护理改善了这一弱势群体的健康结果.
科学领域:
- 公共卫生 公共卫生
- 定性研究是指质量研究.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 注射吸毒者 (PWID) 面临多病性慢性疾病和精神健康障碍的重大风险.
- 由于系统障碍和持续的物质使用,这些疾病往往被诊断不足和治疗不足.
- 有效的医疗保健参与对于管理这些疾病和降低死亡率至关重要.
研究的目的:
- 探索注射毒品的人如何与慢性疾病和物质使用治疗的医疗保健接触.
- 了解影响PWID医疗保健参与的障碍和促进者.
- 为改善这一群体获得医疗保健和改善其结果的策略提供信息.
主要方法:
- 与注射毒品的人进行了24次半结构化的定性访谈.
- 采访是根据脆弱人群的行为模型进行的.
- 用专题分析来确定与医疗保健经验相关的关键主题.
主要成果:
- 关键主题包括医疗保健获取,包裹性服务,患者与提供者关系,服务整合和接受护理.
- 积极的患者-提供者关系和综合服务促进了参与.
- 与治疗阿片类药物使用障碍的药物相关的耻辱感是一个明显的障碍.
结论:
- 加强患者与提供者之间的关系,并整合医疗和心理健康服务对于改善护理参与至关重要.
- 关于物质使用治疗选择的非耻辱化咨询很重要.
- 政策变化支持补偿包装服务的政策变化可以提高PWID的结果.
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