Challenges in providing services in methadone maintenance therapy clinics in China: service providers' perceptions.
Challenges in providing services in methadone maintenance therapy clinics in China: service providers' perceptions.
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DOI：
10.1016/j.drugpo.2009.09.002
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发表时间：
2010-05
影响因子：
4.4
通讯作者：
Detels, Roger
中科院分区：
文献类型：
--
作者：
Lin, Chunqing;Wu, Zunyou;Rou, Keming;Pang, Lin;Cao, Xiaobin;Shoptaw, Steven;Detels, Roger
美沙酮维持治疗（MMT）计划自2004年起在中国启动。截至2008年11月底，全国共建立了558个MMT诊所。这项研究的目的是阐明在MMT诊所工作的服务提供者所感受到的困难和挑战。来自中国浙江省和江西省的28家MMT研究诊所中的每一家的一名服务提供者参加了约1-2小时的面对面深入访谈，以描述他们对在MMT诊所工作的看法。使用ATLAS. ti分析定性数据。扎根理论被用来指导数据分析。与会者指出，在MMT诊所提供服务的主要问题，包括缺乏资源，专业培训和机构支持。职业追求困难、担心人身安全、收入低、工作负担重以及中国社会对MMT的评价差往往会导致服务提供者的压力和倦怠。中国的MMT项目迫切需要额外的资源分配和制度支持，以支持当前和未来的项目扩展。服务提供者迫切需要专业培训，以提高他们为MMT客户提供的护理质量。
The Methadone Maintenance Therapy (MMT) program has been initiated in China since 2004. As of the end of November, 2008, 558 MMT clinics had been established countrywide. The objective of this study was to elucidate the difficulties and challenges as perceived by service providers working in MMT clinics. One service provider from each of the 28 MMT study clinics in Zhejiang and Jiangxi Provinces of China participated in a face-to-face in-depth interview for about 1–2 hours to describe their perceptions of working in MMT clinics. Qualitative data were analyzed using ATLAS.ti. The grounded theory was used to guide the data analysis. Participants identified major problems in providing services in MMT clinics including lack of resources, professional training, and institutional support. Difficulties in pursuit of career, concern for personal safety, low income, heavy working load, and poor opinion of MMT by Chinese society often contributed to greater stress and burnout among the service providers. The MMT programs in China desperately need additional resource allocation and institutional support for the current and perhaps future expansion of the programs. The service providers are in urgent need of professional training to improve the quality of care they can offer MMT clients.
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影响因子：
4.4
作者：
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发表时间：
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