Barriers and facilitators to opioid agonist therapy in rural and remote communities in Canada: an integrative review

Lit review
par
Pijl, Em M. et al

Date de publication

2022

Géographie

Canada

Langue de la ressource

English

Texte disponible en version intégrale

Oui

Open Access / OK to Reproduce

Oui

Évalué par des pairs

Yes

L’objectif

This integrative review of the literature was conducted to explore the facilitators and barriers of OAT in rural and remote Canadian communities.

Constatations/points à retenir

Facilitators and barriers to OAT programs were organized into six themes: intrapersonal/patient factors, social/non-medical program factors, family/social context factors (including community factors), infrastructure/environmental factors, health care provider factors, and system/policy factors. Most of the studies focused on the patient-provider dyad. Two of the most compelling studies focused on community factors that positively impacted OAT success and highlighted a holistic approach to care, nested in a community-based holistic model.

La conception ou méthodologie de recherche

26 studies included

Mots clés

Rural/remote
Barriers and enablers
About prescribers
About PWUD
Substitution/OAT