在加拿大不列颠哥伦比亚省实施药物检查服务的机遇和挑战:一项定性研究
Koharu Loulou Chayama1, Lianping Ti2, Jaime Arredondo Sanchez Lira3
1British Columbia Centre on Substance Use, 400-1045 Howe Street, Vancouver, Canada; Interdisciplinary Studies Graduate Program, University of British Columbia, 6371 Crescent Road, Vancouver, Canada.
The International journal on drug policy
|September 1, 2024
概括
社区的专业知识和适应能力是成功实施药物检查服务 (DCS) 的关键. 解决毒品使用犯罪化问题和资金缺口对于扩大减少危害干预措施至关重要.
科学领域:
- 公共卫生 公共卫生
- 减少伤害 减少伤害
- 实施科学 实施科学
背景情况:
- 北美毒品中毒危机需要减少危害的策略.
- 药物检查服务 (DCS) 是新兴的干预措施,以减轻与药物有关的危害.
- 本研究研究了加拿大不列颠哥伦比亚省 (BC) 的DCS实施促进者和障碍.
研究的目的:
- 确定在不列颠哥伦比亚省实施药物检查服务 (DCS) 的关键机遇和挑战.
- 了解影响DCS成功采用和集成的因素.
- 为未来的减少危害干预策略提供信息.
主要方法:
- 与21名参与BCDCS实施的利益相关者进行了半结构化采访 (2020年1月 - 2021年7月).
- 使用实施研究综合框架 (CFIR) 进行采访编码和分析.
- 专注于政策制定者,卫生当局,社区组织和服务提供商的观点.
主要成果:
- 社区成员和减少危害组织是关键的促进者,带来了必不可少的当地知识和对公平的热情.
- DCS的预防性好处和省级过量使用紧急情况为政策制定和监管转变创造了有利的环境.
- 随着持续的评估,DCS对不同环境的适应性,促进了实施.
- 障碍包括毒品使用的犯罪化,耻辱和社区主导的倡议资金不足.
结论:
- 集中社区专业知识对于成功实施DCS至关重要,除了结构性改革,如毒品非刑事化和增加资金.
- 调查结果为加强BC和其他司法管辖区的系统级减伤干预提供了洞察力.
- 成功实施DCS需要解决上下文因素和社区参与.
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