在医院环境中监督消费服务的多重组成部分
Cathy Long1, Tim Guimond2, Ahmed M Bayoumi3
1MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital, 209 Victoria Street, Toronto, ON, M5B 1T8, Canada.
The International journal on drug policy
|November 30, 2023
概括
医院正在探索监督消费服务 (SCS),但其实施情况各不相同. 在医院中制定不同的SCS可能会对吸毒者和获得服务产生负面影响.
科学领域:
- 公共卫生 公共卫生
- 医疗保健管理的管理
- 卫生社会学 卫生社会学
背景情况:
- 监督消费服务 (SCS) 很少在急症医院实施.
- 医院具有独特的背景,影响SCS实施和影响.
- 了解当地环境对于在医院有效整合SCS至关重要.
研究的目的:
- 探索基于医院的SCS的实施前阶段.
- 检查SCS如何在医院环境中被概念化和实施.
- 了解医院的物质-话语背景对SCS发展的影响.
主要方法:
- 与83名医院工作人员和临床医生进行了11个重点小组.
- 在数据分析中利用了基于理论的原理.
- 采用"证据制造干预"框架来解释发现.
主要成果:
- 大多数参与者支持在医院建立SCS.
- 多种SCS的制定出现了,包括降低风险,患者干预,药物使用集中化和转型性医院干预.
- 减少伤害,禁欲,安全和降低风险的目标共存,创造了复杂的现实.
结论:
- 确定了基于医院的SCS的各种立法.
- 一些SCS法令可能会对吸毒者和服务可访问性产生负面影响.
- 了解实践行为对于开发以患者为中心的医院SCS至关重要.
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