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

Lit review
by
Pijl, Em M. et al

Release Date

2022

Geography

Canada

Language of Resource

English

Full Text Available

Yes

Open Access / OK to Reproduce

Yes

Peer Reviewed

Yes

Objective

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

Findings/Key points

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.

Design/methods

26 studies included

Keywords

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