Injection Drug Users' Perspectives on Placing HIV Prevention and Other Clinical Services in Pharmacy Settings
Injection Drug Users' Perspectives on Placing HIV Prevention and Other Clinical Services in Pharmacy Settings
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DOI：
10.1007/s11524-011-9651-9
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发表时间：
2012-04-01
影响因子：
6.6
通讯作者：
Kral, Alex H.
中科院分区：
文献类型：
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作者：
Lutnick, Alexandra;Case, Patricia;Kral, Alex H.
药店作为无菌注射器的来源，是向注射吸毒者提供额外服务的理想场所。将药房服务扩大到注射吸毒者可能会解决这一人群中医疗保健服务利用率低的问题。这项对旧金山弗朗西斯科活跃注射吸毒者的定性研究探讨了在药房环境中提供的拟议卫生服务和干预措施的观点，以及提供服务的促进者和障碍。2010年2月至5月，11名活跃的注射吸毒者在社区实地和当地注射器交换点参加了一对一的半结构化访谈。结果显示，大多数人对将服务扩大到药房持保留态度，原因包括担心匿名，以及感觉旧金山弗朗西斯科已经在其他场所提供拟议的服务。在拟议的保健服务中，这类注射吸毒者优先考虑注射器的获取和处置、临床检测和疫苗接种以及提供美沙酮。药房和药房工作人员的态度被认为是影响注射吸毒者舒适地获得服务的主要障碍。调查结果表明，虽然注射吸毒者希望看到一些额外的服务提供药房设置，这是取决于药剂师及其工作人员接受专业发展培训，培养对注射吸毒者的需求和经验的敏感性。
In their role as a source of sterile syringes, pharmacies are ideally situated to provide additional services to injection drug users (IDUs). Expanding pharmacy services to IDUs may address the low utilization rates of healthcare services among this population. This qualitative study of active IDUs in San Francisco explored perspectives on proposed health services and interventions offered in pharmacy settings, as well as facilitators and barriers to service delivery. Eleven active IDUs participated in one-on-one semistructured interviews at a community field site and at a local syringe exchange site between February and May 2010. Results revealed that most had reservations about expanding services to pharmacy settings, with reasons ranging from concerns about anonymity to feeling that San Francisco already offers the proposed services in other venues. Of the proposed health services, this group of IDUs prioritized syringe access and disposal, clinical testing and vaccinations, and provision of methadone. Pharmacists' and pharmacy staff's attitudes were identified as a major barrier to IDUs' comfort with accessing services. The findings suggest that although IDUs would like to see some additional services offered within pharmacy settings, this is contingent upon pharmacists and their staff receiving professional development trainings that cultivate sensitivity towards the needs and experiences of IDUs.