在初级保健专业人员中对结构性和基于提供者的物质使用污名干预的看法
Erin Fanning Madden1, Felicia Frabis1, Jonathan Cohn2
1Department of Family Medicine and Public Health Sciences, Wayne State University School of Medicine, 540 E. Canfield Ave, Detroit, MI 48201, United States.
初级保健工作人员认识到对使用毒品的人 (PWUD) 的耻辱,但通常认为这是个人的. 然而,对社会因素的认识增加了对解决组织和提供者的耻辱感的结构性干预措施的开放性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
背景情况:
- 在初级保健机构的耻辱感为使用毒品的人 (PWUD) 创造了障碍.
- 对于在组织和提供者层面针对结构性耻辱的干预措施的可接受性,人们的理解有限.
研究的目的:
- 探索初级保健工作人员对物质使用耻辱感的看法.
- 评估潜在干预措施的可接受性,以减轻初级保健中对PWUD的耻辱.
主要方法:
- 与密歇根州初级保健机构的21名临床和非临床工作人员进行了深入采访.
- 专题分析以确定污名化主题和干预的可接受性.
主要成果:
- 工作人员通常将耻辱视为个人态度,而不是结构性问题.
- 支持了解决知识差距或改善护理质量的干预措施.
- 一些干预措施因被认为不可行 (例如保险/监管约束) 而遭到反对.
结论:
- 虽然工作人员经常单独对耻辱进行概念化,但对社会决定因素的认识促进了对结构性干预的开放性.
- 初级保健机构可能会接受减少组织和提供者对PWUD的耻辱感的干预措施.
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