期刊
ADDICTION
卷 111, 期 4, 页码 685-694出版社
WILEY
DOI: 10.1111/add.13214
关键词
Drug users; harm reduction; health services; hospitals; patient-centered care; qualitative
资金
- NIDA NIH HHS [R01 DA033147, U01 DA038886] Funding Source: Medline
AimsTo explore the perspectives of structurally vulnerable people who use drugs (PWUD) regarding: (1) the potential integration of harm reduction interventions (e.g. supervised drug consumption services, opioid-assisted treatment) into hospitals; and (2) the implications of these interventions for patient-centered care, hospital outcomes and drug-related risks and harms. DesignSemi-structured qualitative interviews. SettingVancouver, Canada. ParticipantsThirty structurally vulnerable PWUD who had been discharged from hospital against medical advice within the past 2years, and hospitalized multiple times over the past 5years. MeasurementsSemi-structured interview guide including questions to elicit perspectives on hospital-based harm reduction interventions. FindingsParticipant accounts highlighted that hospital-based harm reduction interventions would promote patient-centered care by: (1) prioritizing hospital care access and risk reduction over the enforcement of abstinence-based drug policies; (2) increasing responsiveness to subjective health needs (e.g. pain and withdrawal symptoms); and (3) fostering culturally safe' care. ConclusionsHospital-based harm reduction interventions for people who use drugs, such as supervised drug consumption services and opioid-assisted treatment, can potentially improve hospital care retention, promote patient-centered care and reduce adverse health outcomes among people who use drugs.
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