"That's a double-edged sword": Exploring the integration of supervised consumption services within community health centres in Toronto, Canada

"That's a double-edged sword": Exploring the integration of supervised consumption services within community health centres in Toronto, Canada
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DOI:
10.1016/j.healthplace.2019.102245
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发表时间:
2020-01-01
期刊:
影响因子:
4.8
通讯作者:
Kerr, Thomas
Kerr, Thomas
中科院分区:
医学2区
文献类型:
--
作者:
Bardwell, Geoff;Strike, Carol;Kerr, Thomas

文献摘要

被引文献

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监督消费服务(SCS)已被整合到多伦多的社区卫生中心。我们利用定性访谈和人种学观察来检查这些SCS的实施背景。与会者对初级保健服务在社区卫生中心内的整合看法不一。一些与会者指出了综合保健服务的好处,如便利和获得其他保健和社会服务的机会。然而,其他人指出了整合的负面后果,包括建筑设计、缺乏隐私和匿名性,以及有限的运营时间。这些观点强调了背景因素如何影响客户访问SCS的体验,并建议需要考虑各种因素以提高服务接受度。
Supervised consumption services (SCS) have been integrated into community health centres in Toronto. We draw on qualitative interviews and ethnographic observations to examine the implementation contexts of these SCS. Participants' perspectives on the integration of SCS within CHCs were mixed. Some participants identified the benefits of integrated SCS such as convenience and access to other health and social services. However, others identified negative consequences of integration, including building design, lack of privacy and anonymity, and limited hours of operation. These perspectives highlight the ways in which contextual factors affect the experiences of clients in accessing SCS, and suggest that various factors need to be considered in order to improve service uptake.