High prevalence of unmet healthcare need among people who use illicit drugs in a Canadian setting with publicly-funded interdisciplinary primary care clinics.
High prevalence of unmet healthcare need among people who use illicit drugs in a Canadian setting with publicly-funded interdisciplinary primary care clinics.
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在加拿大环境中使用公共资助的跨学科初级保健诊所中使用非法药物的人中，未受满足的医疗保健需求的高龄。
DOI：
10.1080/08897077.2020.1846667
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发表时间：
2021
期刊：
影响因子：
3.5
通讯作者：
Hayashi K
中科院分区：
文献类型：
--
作者：
Moallef S;Homayra F;Milloy MJ;Bird L;Nosyk B;Hayashi K
使用非法药物的人（PWUD）在医疗保健方面遇到了重大障碍。然而，人们对初级保健的依恋程度（定义为拥有他们感到舒适的常规家庭医生或诊所）及其与该人群未满足的医疗保健需求的关系知之甚少。在加拿大的设置，具有新颖的公共资助的跨学科的初级保健诊所，我们试图研究的患病率和相关因素（包括附件初级保健）之间未满足的医疗保健需求PWUD。数据来源于2017年12月至2018年11月在加拿大温哥华进行的两项PWUD前瞻性队列研究。多变量逻辑回归用于确定与报告任何健康问题的参与者中自我报告的未满足的医疗保健需求相关的因素。在889名合格参与者中，共有743名（83.6%）报告了对初级保健的依恋，220名（24.7%）报告了未满足的医疗保健需求。在多变量分析中，在综合护理诊所对初级护理的依恋（调整后的比值比[AOR] = 0.14; 95%置信区间[CI]：0.06-0.34）与未满足的医疗需求呈负相关，同时在医疗机构接受不良治疗（AOR = 5.50; 95%CI：3.59-8.60）和自我报告的慢性疼痛（AOR = 2.00，95%CI：1.30-3.01）与未满足的医疗保健需求正相关。尽管对初级保健的重视程度很高，但我们的样本中有四分之一报告了未满足的医疗保健需求。我们的研究结果表明，需要多层次的干预措施来解决未满足的需求，包括疼痛管理和综合护理，以支持具有复杂健康需求的PWUD。
People who use illicit drugs (PWUD) experience significant barriers to healthcare. However, little is known about levels of attachment to primary care (defined as having a regular family doctor or clinic they feel comfortable with) and its association with unmet healthcare needs in this population. In a Canadian setting that features novel publicly-funded interdisciplinary primary care clinics, we sought to examine the prevalence and correlates (including attachment to primary care) of unmet healthcare needs among PWUD. Data were derived from two prospective cohort studies of PWUD in Vancouver, Canada between December 2017 and November 2018. Multivariable logistic regression was used to identify factors associated with self-reported unmet healthcare needs among participants reporting any health issues. In total, 743 (83.6%) of 889 eligible participants reported attachment to primary care and 220 (24.7%) reported an unmet healthcare need. In multivariable analyses, attachment to primary care at an integrated care clinic (adjusted odds ratio [AOR] = 0.14; 95% Confidence Interval [CI]: 0.06–0.34) was negatively associated with an unmet healthcare need, while being treated poorly at a healthcare facility (AOR = 5.50; 95% CI: 3.59–8.60) and self-reported chronic pain (AOR = 2.00, 95% CI: 1.30–3.01) were positively associated with an unmet healthcare need. Despite the high level of attachment to primary care, a quarter of our sample reported an unmet healthcare need. Our findings suggest that multi-level interventions are required to address the unmet need, including pain management and integrated care, to support PWUD with complex health needs.
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影响因子：
4.2
作者：
Hayashi K;Milloy MJ;Lysyshyn M;DeBeck K;Nosova E;Wood E;Kerr T
通讯作者：
Kerr T
影响因子：
2
作者：
McCoy, CB;Metsch, LR;Miles, C
通讯作者：
Miles, C
DOI：
10.1007/s11524-012-9771-x
发表时间：
2013-06-01
影响因子：
6.6
作者：
Linden, Isabelle Aube;Mar, issa Y.;Krausz, Michael
通讯作者：
Krausz, Michael
影响因子：
4.4
作者：
Baldacchino, Alex;Gilchrist, Gail;Bannister, Jonathan
通讯作者：
Bannister, Jonathan
影响因子：
3.2
作者：
Lambdin, Barrot H.;Comfort, Megan;Lorvick, Jennifer
通讯作者：
Lorvick, Jennifer