کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
8950480 1645780 2018 13 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Prescribing Opioids as an Incentive to Retain Patients in Medical Care: A Qualitative Investigation into Clinician Awareness and Perceptions
ترجمه فارسی عنوان
تجویز داروهای ضد افسردگی به عنوان یکی از انگیزه های درمانی برای حفظ سلامتی در کودکان مراقبت های بهداشتی: یک مطالعه کیفی در مورد آگاهی آگاهی و معرفت بالینی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری های عفونی
چکیده انگلیسی
HIV treatment retention remains a significant public health concern. Our qualitative analysis used emergent data from a larger HIV treatment study to explore clinician perspectives on prescribing opioids to incentivize retention in HIV care. Data from individual interviews with 29 HIV and substance use clinicians were analyzed using thematic analysis. Prescribing opioids as a retention strategy emerged as a theme. Nine of 11 HIV clinicians reported prior knowledge of this practice; only one of 12 substance use clinicians indicated prior knowledge. Positive perceptions included: harm reduction approach, increased appointment attendance, and sustained engagement in HIV care. Negative perceptions included: addiction potential, increased engagement not leading to better health outcomes, and prescriptions becoming the appointment focus. Some clinicians used prescriptions as a strategy to improve treatment retention, which may be particularly problematic in light of the current opioid epidemic. Understanding motives, outcomes, and clinical decision-making processes is needed.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of the Association of Nurses in AIDS Care - Volume 29, Issue 5, September–October 2018, Pages 642-654
نویسندگان
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