Patient perspectives on a harm reduction-oriented addiction medicine consultation team implemented in a large acute care hospital

Original research
par
Hyshka, Elaine et al

Date de publication

2019

Géographie

Canada

Langue de la ressource

English

Texte disponible en version intégrale

Non

Open Access / OK to Reproduce

Non

Évalué par des pairs

Yes

L’objectif

We conducted a process evaluation of a novel harm reduction-oriented addiction medicine consultation team [AMCT]. Our specific aims included examining patients’ perspectives on factors that facilitated or hindered AMCT delivery, and its impact on their hospital care and outcomes.

Constatations/points à retenir

Participants highlighted the AMCT’s harm reduction approach; reputation amongst peers; and specialized training as especially important intervention facilitators. Key barriers that constrained the impact of the team included unmet expectations; difficulty accessing follow-up care; and residual conflicts between the AMCT’s harm reduction approach and the abstinence-only orientation of some hospital staff. For a few participants these conflicts led to negative experiences. Despite this, participants reported that the AMCT had positive impacts overall, including declines in substance use, enhanced mental and emotional wellbeing, and improved socio-economic circumstances.

La conception ou méthodologie de recherche

Semi-structured interviews (n=21)

Mots clés

Harm reduction
Hospitals