Qualitative exploration of the early experiences of opioid use disorder patients from private clinics after Russia's invasion of Ukraine in five major cities in Ukraine.
Qualitative exploration of the early experiences of opioid use disorder patients from private clinics after Russia's invasion of Ukraine in five major cities in Ukraine.
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DOI：
10.3389/fpubh.2023.1238188
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发表时间：
2023
影响因子：
5.2
通讯作者：
Altice, Frederick L.
中科院分区：
文献类型：
--
作者：
Mazhnaya, Alyona;Meteliuk, Anna;Pykalo, Iryna;Altice, Frederick L.
关键词：
在俄罗斯联邦于2022年2月24日全面入侵乌克兰后，超过6，000名患者在乌克兰接受阿片类药物使用障碍（MOUD）治疗的风险可能会中断。在2022年之前，出现了私有化的MOUD诊所，部分原因是政府在国家资助的设施中的限制性政策和做法。然而，关于他们的手术和病人的经历，特别是在危机期间的经历的信息很少。本研究旨在阐明利用私人MOUD诊所的患者的最初生活经历，将这些见解与战争期间应对卫生系统的分析相结合。调查结果来自2022年3月至6月期间进行的20次定性半结构化访谈，参与者来自乌克兰五个主要城市：哈尔科夫，基辅，敖德萨，波尔塔瓦和扎波里日亚。采用快速分析程序，我们通过与数据收集工具领域一致的描述性和分析性总结来检查数据。紧急主题包括入侵开始后的压力和不确定性，访问MOUD的挑战，以及随之而来的关于国家资助与私人诊所的看法。该研究发现，在大多数受调查的城市，私人MOUD诊所的运营都受到了干扰。与MOUD药物可用性有关的问题与国家资助的诊所或药房药物短缺或关闭的剂量减少有关。尽管在不同的MOUD诊所和城市有不同的经历，但大多数参与者继续接受治疗。这种定性的探索提供了一个视角，在入侵的最初几个月里，在私人诊所治疗MOUD的生活经验，阐明了早期的压力，访问的挑战，私人MOUD诊所的不同反应，以及不稳定的条件通知或改变对MOUD治疗方案的偏好。此外，这些调查结果证实了先前记录的众多利益攸关方为减轻与战争有关的对MOUD交付的干扰所做的努力。这些见解有助于国际社会了解重大危机期间卫生系统的导航和复原力，为备灾发展提供宝贵的经验教训。
Following the full-scale invasion of Ukraine by the Russian Federation on 24 February 2022, over 6,000 patients were at risk of potential disruptions in treatment with medications for opioid use disorder (MOUD) in Ukraine. Before 2022, privatized MOUD clinics had emerged, partly driven by restrictive governmental policies and practices in state-funded facilities. Nevertheless, scant information exists regarding their operation and the patient’s experiences, especially during crises. This study seeks to elucidate the initial lived experiences of patients utilizing private MOUD clinics, integrating these insights with an analysis of the responding health system during war. The findings are derived from 20 qualitative semi-structured interviews conducted between March and June 2022, engaging participants from five major Ukrainian cities: Kharkiv, Kyiv, Odesa, Poltava, and Zaporizhzhya. Employing a rapid analysis procedure, we examined the data through descriptive and analytical summaries aligned with the domains of the data collection instrument. Emergent themes encompassed stress and uncertainty following the invasion’s onset, challenges accessing MOUD, and consequent perceptions concerning state-funded versus private clinics. The study identified disruptions in the operation of private MOUD clinics across most cities examined. Issues pertaining to MOUD medication availability were linked to dosage reductions at state-funded clinics or pharmacy medication shortages or closures. Despite varied experiences at different MOUD clinics and cities, most participants continued their treatment. This qualitative exploration provides a perspective on lived experiences with MOUD treatment at private clinics amidst the initial months of the invasion, illuminating how the early days’ stress, access challenges, varied responses from private MOUD clinics, and precarious conditions informed or altered preferences regarding MOUD treatment options. Moreover, these findings corroborate previously documented efforts by myriad stakeholders to mitigate war-related disruptions to MOUD delivery. These insights contribute to the international understanding of health system navigation and resilience during major crises, offering valuable lessons for preparedness development.
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DOI：
10.3109/09687637.2015.1016397
发表时间：
2015
期刊：
Drugs (Abingdon, England)
影响因子：
--
作者：
Bojko MJ;Mazhnaya A;Makarenko I;Marcus R;Dvoriak S;Islam Z;Altice FL
通讯作者：
Altice FL
DOI：
10.1371/journal.pgph.0002168
发表时间：
2023
期刊：
PLOS global public health
影响因子：
--
作者：
通讯作者：
--
影响因子：
10.5
作者：
Goto，Ryunosuke;Pinchuk，Irina;Skokauskas，Norbert
通讯作者：
Skokauskas，Norbert
影响因子：
20.9
作者：
Bromberg, Daniel J.;Madden, Lynn M.;Meteliuk, Anna;Ivasiy, Roman;Leon, Samy J. Galvez de;Klyucharyov, Konstantin;Altice, Frederick L.
通讯作者：
Altice, Frederick L.
乌克兰战争期间阿片类药物使用障碍的药物：对政府的反应更全面的看法。
影响因子：
20.9
作者：
Ivanchuk, Iryna
通讯作者：
Ivanchuk, Iryna