Acceptability of, and barriers and facilitators to, a pilot physical health service for people who inject drugs: A qualitative study with service users and providers.
Acceptability of, and barriers and facilitators to, a pilot physical health service for people who inject drugs: A qualitative study with service users and providers.
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针对注射吸毒者的试点身体健康服务的可接受性、障碍和促进因素：与服务使用者和提供者进行的定性研究。
DOI：
10.1016/j.drugpo.2021.103437
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Anderson NC
中科院分区：
文献类型：
--
作者：
Anderson NC
背景注射毒品的人可能会遇到难以获得或维持参与传统的医疗保健服务。这与健康不平等和生物心理社会困难的增加有关。在社区药物服务中嵌入物理医疗保健服务可以提供一种实际可行的方法来增加医疗保健的获取和提供。本研究探讨了英国在社区药物服务中嵌入试点实体医疗服务的可接受性、障碍和促进因素（布里斯托，英格兰）。方法半结构化访谈进行了服务用户（注射毒品的人）（n= 13），并与服务提供者进行了一个焦点小组（n= 11：9名减少伤害工作人员，2名护士，1名服务经理）。主题指南包括探讨使用和提供服务的障碍和促进因素的问题（基于COM-B模型），以及服务的可接受性（使用可接受性理论框架）。成绩单进行了分析，使用组合演绎框架和归纳专题分析approach.ResultsThe服务被视为高度可接受的。服务使用者和提供者都有信心分别获得和提供服务，并认为服务是有效的。障碍包括服务使用者（例如吸毒）和更广泛的服务（例如设备）之间相互竞争的优先事项，今后取消服务的潜在影响被视为全面获得保健服务的障碍。服务用户和供应商都认为嵌入在现有的社区为基础的药物服务的身体健康服务，促进可访问和整体护理，减少耻辱和discrimination.ConclusionsThe目前的研究表明嵌入在现有的社区药物和酒精服务的身体健康服务是可以接受的，有益的。今后的研究需要证明成本效益，确保长期可持续性，并确定研究结果是否可转移到其他环境、组织和国家。
BackgroundPeople who inject drugs may experience difficulty accessing or maintaining involvement with traditional healthcare services. This is associated with increased health inequalities and bio-psychosocial difficulties. Embedding physical healthcare services within community-based drug services may provide a practical and feasible approach to increase access and delivery of healthcare. This study explored the acceptability of, and barriers and facilitators to, embedding a pilot physical healthcare service within a community-based drug service in the United Kingdom (Bristol, England).MethodsSemi-structured interviews were conducted with service users (people who inject drugs) (n= 13), and a focus group was conducted with service providers (n= 11: nine harm reduction workers, two nurses, one service manager). Topic guides included questions to explore barriers and facilitators to using and delivering the service (based on the COM-B Model), and acceptability of the service (using the Theoretical Framework of Acceptability). Transcripts were analysed using a combined deductive framework and inductive thematic analysis approach.ResultsThe service was viewed as highly acceptable. Service users and providers were confident they could access and provide the service respectively, and perceived it to be effective. Barriers included competing priorities of service users (e.g. drug use) and the wider service (e.g. equipment), and the potential impact of the service being removed in future was viewed as a barrier to overall healthcare access. Both service users and providers viewed embedding the physical health service within an existing community-based drug service as facilitating accessible and holistic care which reduced stigma and discrimination.ConclusionsThe current study demonstrated embedding a physical health service within an existing community-drug based and alcohol service was acceptable and beneficial. Future studies are required to demonstrate cost-effectiveness and ensure long-term sustainability, and to determine transferability of findings to other settings, organisations and countries.
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影响因子：
4.5
作者：
Fernandes RM;Cary M;Duarte G;Jesus G;Alarcão J;Torre C;Costa S;Costa J;Carneiro AV
通讯作者：
Carneiro AV
DOI：
10.1016/s2214-109x(20)30505-2
发表时间：
2021-04
期刊：
The Lancet. Global health
影响因子：
--
作者：
Oru E;Trickey A;Shirali R;Kanters S;Easterbrook P
通讯作者：
Easterbrook P
影响因子：
4.4
作者：
Nambiar, Dhanya;Stoove, Mark;Dietze, Paul
通讯作者：
Dietze, Paul
影响因子：
4.4
作者：
Broad, Jennifer;Mason, Kate;Powis, Jeff
通讯作者：
Powis, Jeff
影响因子：
6.9
作者：
Herbec, A.;Chimhini, G.;Fitzgerald, F. C.
通讯作者：
Fitzgerald, F. C.