Barriers to successful treatment of alcohol addiction as perceived by healthcare professionals in Thailand - a Delphi study about obstacles and improvement suggestions
Barriers to successful treatment of alcohol addiction as perceived by healthcare professionals in Thailand - a Delphi study about obstacles and improvement suggestions
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DOI：
10.3402/gha.v9.31738
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发表时间：
2016-01-01
影响因子：
2.6
通讯作者：
Ostlund, Gunnel
中科院分区：
文献类型：
--
作者：
Hanpatchaiyakul, Kulnaree;Eriksson, Henrik;Ostlund, Gunnel
背景：许多泰国人经历酒精成瘾不寻求帮助，那些谁做往往没有足够的治疗。有几个研究集中在酒精成瘾治疗在Thailand.Objective：目前的研究的目的是确定酒精成瘾治疗的障碍，并收集专家的建议，以改善治疗在泰国。该德尔菲技术被用来实现一致同意的协议，在酒精成瘾和treatment.Design领域内的专家小组：三轮的德尔菲调查完成了由一个专家小组在酒精成瘾，包括医生，护士，社会工作者，心理学家，医疗保健人员，和匿名酗酒者的成员。34名专家在第一轮中提供了不限成员名额的答复，最后有60份发言，这些发言后来分为三个主题。结果：32位专家参与了全部三轮德尔菲调查，共收集到51份意见。超过80%的参与者特别关注酒精成瘾治疗的五个障碍。专家小组提出的大多数建议涉及患者的治疗权和减少酒精不良影响的国家政策。根据目前的研究结果，专家们建议，酒精成瘾的治疗应从初级保健到三级保健，并应在医疗服务中建立方便的途径。专家们还希望增加医疗服务提供者的数量，提高他们的知识和技能，在工作中与人经历alcohol addiction.Conclusions：平等的健康和治疗的权利，在泰国经历酒精成瘾的人需要政策的改进，以及接受和认识酒精成瘾的公众和政策制定者。
Background: Many Thai people experiencing alcohol addiction do not seek help, and those who do often have inadequate access to treatment. There are few research studies focusing on alcohol addiction treatment in Thailand.Objective: The purpose of the current study was to identify barriers to the treatment of alcohol addiction and to collect experts' suggestions for improving treatment in Thailand. The Delphi technique was used to achieve consensual agreement among an expert panel within the field of alcohol addiction and treatment.Design: Three rounds of a Delphi survey were completed by a panel of experts in alcohol addiction, including physicians, nurses, social workers, psychologists, healthcare officers, and an Alcoholics Anonymous member. The open-ended answers provided by 34 experts in the first round resulted in 60 statements, which were later grouped into three themes. After three rounds of questionnaires, 51 statements were accepted as consensus.Results: Thirty-two experts participated in all three Delphi rounds. Over 80% of participants were particularly concerned about five obstacles to alcohol addiction treatment. The majority of suggestions from the expert panel were related to patients' right to treatment and the national policy for reducing the negative effects of alcohol. According to the results of the present study, the experts suggested that the treatment of alcohol addiction should be continuous from primary care to tertiary care, and convenient pathways should be established in healthcare services. The experts would also like to increase the number of healthcare providers and improve their knowledge and skills in working with people experiencing alcohol addiction.Conclusions: Equal rights to health and treatment for people experiencing alcohol addiction in Thailand require policy improvements, as well as acceptance and awareness of alcohol addiction from both the public and policymakers.