Network of actors involved in the identification, care, and follow-up of unhealthy alcohol use in primary care in Colombia.
Network of actors involved in the identification, care, and follow-up of unhealthy alcohol use in primary care in Colombia.
复制标题
DOI：
10.1016/j.rcpeng.2021.06.007
复制
发表时间：
2021-07
期刊：
影响因子：
--
通讯作者：
Gómez-Restrepo C
中科院分区：
文献类型：
--
作者：
Medina Ch AM;Torrey WC;Vargas S;Uribe-Restrepo JM;Gómez-Restrepo C
本文探讨了2017年至2018年期间哥伦比亚五个初级保健中心在初级保健层面参与照顾不健康饮酒个体（UAU）的行为者网络的结构。我们使用行为者网络理论框架（ANT），它假设健康结果是不同利益相关者之间众多关系的产物。本文的重点是在参与者之间发展的网络配置及其对UAU患者的识别、护理和随访过程的影响。这些数据来自参与实施研究项目试点阶段的五个护理中心，该项目旨在应用循证干预措施来检测和治疗抑郁症和不健康饮酒。对患者、卫生和行政人员以及戒酒互助会的使用者进行了半结构化访谈和焦点小组（FG）。访谈使用N-Vivo进行转录和编码。分析确定了社区将行动者与UAU联系起来的方式。这种基于ANT的定性方法的结果呈现了在不同维度的非线性网络中识别的行为者。
This article explores the structure of the network of actors involved in the care of individuals with unhealthy alcohol use (UAU) at the primary care level in five primary care centers in Colombia between 2017 and 2018. We use the Actor-Network Theory Framework (ANT) which posits that health outcomes are a product of a multitude of relationships between different stakeholders. The article focuses on the network configuration that develops between the actors and its effects on the processes of identification, care, and follow-up of people with UAU. The data come from five care centers that participated in the pilot phase of an implementation research project that seeks to apply evidence-based interventions for the detection and treatment of depression and unhealthy alcohol use. Semi-structured interviews and focus groups (FG) were conducted with patients, health and administrative staff, and users from Alcoholics Anonymous. The interviews were transcribed and coded using N-Vivo. The analysis identified the ways in which actors are linked by the community to UAU. The results of this qualitative approach based on ANT present the actors identified in a non-linear network with different dimensions.