患者和工作人员对医院基础减伤措施的影响和挑战的看法
Leah Fraimow-Wong1, Marlene Martín1,2, Laura Thomas3
1University of California, San Francisco, School of Medicine.
JAMA network open
|February 22, 2024
概括
医院减少危害计划改善了患者护理,减少了耻辱,特别是在少数群体和使用兴奋剂的人群中. 这些服务扩大了获得教育和供应的机会,促进了信任和积极的文化变化.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 药物使用障碍 药物使用障碍
背景情况:
- 减少危害的策略与使用物质的个人更好的健康结果有关.
- 医院越来越多地采用减少伤害的服务,因为过量服用死亡人数的增加.
- 有限的数据存在于基于医院的减少伤害对患者和工作人员的影响.
研究的目的:
- 评估患者和工作人员对医院危害减轻计划的看法.
- 确定与提供更安全使用教育和医院出院时的用品相关的影响和挑战.
主要方法:
- 这是一项定性研究,涉及20名患者和20名医院工作人员的半结构面试.
- 采访是在加利福尼亚州的一个城市安全网医院进行的.
- 使用专题分析,从采访数据中确定关键主题.
主要成果:
- 减少伤害计划扩大了获得教育和物资的机会,特别是针对种族和民族少数群体.
- 项目建立了信任,改善了患者体验,增加了参与度.
- 对继续使用物质的个人进行护理是无耻的,增加了员工的满足感. 黑人和拉丁裔患者,兴奋剂使用者以及英语水平有限的人学习了新的降低伤害策略.
结论:
- 医院整合的减少伤害服务提高了服务不足的人群的获取.
- 这些计划提高了患者的信任,并减少了医疗机构内的耻辱.
- 需要有针对性的努力来扩大对黑人,拉丁裔,有限的英语水平和使用兴奋剂的人群的减害措施.
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