Suboptimal nonmedical qualities of primary care linked with care avoidance among people who use drugs in a Canadian setting amid an integrated health care reform

There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

Abstract

People who use unregulated drugs (PWUD) often face significant barriers to-and thereby avoid seeking-health care. In Vancouver, Canada, a neighborhood-wide health care system reform began in 2016 to improve health care delivery and quality. In the wake of this reform, we sought to determine the prevalence of health care avoidance and its association with emergency department use among PWUD in this setting and examine patient-reported nonmedical qualities of health care ("responsiveness").

Related collections

Most cited references 33

Record: found
Abstract: found
Article: not found

Stigma among health professionals towards patients with substance use disorders and its consequences for healthcare delivery: systematic review.

Leonieke C van Boekel, Evelien Brouwers, Jaap van Weeghel … (2013)

Healthcare professionals are crucial in the identification and accessibility to treatment for people with substance use disorders. Our objective was to assess health professionals' attitudes towards patients with substance use disorders and examine the consequences of these attitudes on healthcare delivery for these patients in Western countries. Pubmed, PsycINFO and Embase were systematically searched for articles published between 2000 and 2011. Studies evaluating health professionals' attitudes towards patients with substance use disorders and consequences of negative attitudes were included. An inclusion criterion was that studies addressed alcohol or illicit drug abuse. Reviews, commentaries and letters were excluded, as were studies originating from non-Western countries. The search process yielded 1562 citations. After selection and quality assessment, 28 studies were included. Health professionals generally had a negative attitude towards patients with substance use disorders. They perceived violence, manipulation, and poor motivation as impeding factors in the healthcare delivery for these patients. Health professionals also lacked adequate education, training and support structures in working with this patient group. Negative attitudes of health professionals diminished patients' feelings of empowerment and subsequent treatment outcomes. Health professionals are less involved and have a more task-oriented approach in the delivery of healthcare, resulting in less personal engagement and diminished empathy. This review indicates that negative attitudes of health professionals towards patients with substance use disorders are common and contribute to suboptimal health care for these patients. However, few studies have evaluated the consequences of health professionals' negative attitudes towards patients with substance use disorders. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

0 comments Cited 498 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

Global burden of disease attributable to illicit drug use and dependence: findings from the Global Burden of Disease Study 2010.

Louisa Degenhardt, Harvey Whiteford, Alize J Ferrari … (2013)

No systematic attempts have been made to estimate the global and regional prevalence of amphetamine, cannabis, cocaine, and opioid dependence, and quantify their burden. We aimed to assess the prevalence and burden of drug dependence, as measured in years of life lived with disability (YLDs), years of life lost (YLLs), and disability-adjusted life years (DALYs). We conducted systematic reviews of the epidemiology of drug dependence, and analysed results with Global Burden of Diseases, Injuries, and Risk Factors Study 2010 (GBD 2010) Bayesian meta-regression technique (DisMod-MR) to estimate population-level prevalence of dependence and use. GBD 2010 calculated new disability weights by use of representative community surveys and an internet-based survey. We combined estimates of dependence with disability weights to calculate prevalent YLDs, YLLs, and DALYs, and estimated YLDs, YLLs, and DALYs attributable to drug use as a risk factor for other health outcomes. Illicit drug dependence directly accounted for 20·0 million DALYs (95% UI 15·3-25·4 million) in 2010, accounting for 0·8% (0·6-1·0) of global all-cause DALYs. Worldwide, more people were dependent on opioids and amphetamines than other drugs. Opioid dependence was the largest contributor to the direct burden of DALYs (9·2 million, 95% UI 7·1-11·4). The proportion of all-cause DALYs attributed to drug dependence was 20 times higher in some regions than others, with an increased proportion of burden in countries with the highest incomes. Injecting drug use as a risk factor for HIV accounted for 2·1 million DALYs (95% UI 1·1-3·6 million) and as a risk factor for hepatitis C accounted for 502,000 DALYs (286,000-891,000). Suicide as a risk of amphetamine dependence accounted for 854,000 DALYs (291,000-1,791,000), as a risk of opioid dependence for 671,000 DALYs (329,000-1,730,000), and as a risk of cocaine dependence for 324,000 DALYs (109,000-682,000). Countries with the highest rate of burden (>650 DALYs per 100,000 population) included the USA, UK, Russia, and Australia. Illicit drug use is an important contributor to the global burden of disease. Efficient strategies to reduce disease burden of opioid dependence and injecting drug use, such as delivery of opioid substitution treatment and needle and syringe programmes, are needed to reduce this burden at a population scale. Australian National Health and Medical Research Council, Australian Government Department of Health and Ageing, Bill & Melinda Gates Foundation. Copyright © 2013 Elsevier Ltd. All rights reserved.

0 comments Cited 280 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: not found
Article: not found

Guideline for opioid therapy and chronic noncancer pain.

Jason Busse, Samantha Craigie, David Juurlink … (2017)

0 comments Cited 250 times – based on 0 reviews      Review now

Bookmark

All references

Author and article information

Journal

Title: Journal of Substance Abuse Treatment

Abbreviated Title: Journal of Substance Abuse Treatment

Publisher: Elsevier BV

ISSN (Print): 07405472

Publication date Created: August 2022

Publication date (Print): August 2022

Volume: 139

Page: 108784

Article

DOI: 10.1016/j.jsat.2022.108784

PMC ID: 9886230

PubMed ID: 35523704

SO-VID: 4455eb26-550d-42b5-bc6f-c85e66861340

License:

https://www.elsevier.com/tdm/userlicense/1.0/

http://www.elsevier.com/open-access/userlicense/1.0/

https://doi.org/10.15223/policy-017

https://doi.org/10.15223/policy-037

https://doi.org/10.15223/policy-012

https://doi.org/10.15223/policy-029

https://doi.org/10.15223/policy-004

History

Data availability:

Comments

Comment on this article

scite_

Smart Citations

Citing PublicationsSupportingMentioningContrasting

View Citations

See how this article has been cited at scite.ai

scite shows how a scientific paper has been cited by providing the context of the citation, a classification describing whether it supports, mentions, or contrasts the cited claim, and a label indicating in which section the citation was made.

Suboptimal nonmedical qualities of primary care linked with care avoidance among people who use drugs in a Canadian setting amid an integrated health care reform

Read this article at

Abstract

Related collections

Special issue: Negotiating the Nation: Young people, national narratives and history education

Most cited references 33

Stigma among health professionals towards patients with substance use disorders and its consequences for healthcare delivery: systematic review.

Global burden of disease attributable to illicit drug use and dependence: findings from the Global Burden of Disease Study 2010.

Guideline for opioid therapy and chronic noncancer pain.

Author and article information

Journal

Article

History

Comments

Comment on this article

Similar content 2,035

Cited by 4

Most referenced authors 484