Fountain J, Strang J, Griffiths P, Powis B, Gossop M
National Addiction Centre, The Maudsley, Institute of Psychiatry, London, UK.
Eur Addict Res. 2000 Jun;6(2):97-103. doi: 10.1159/000019017.
This paper reports on the combination of qualitative and quantitative methods which were used to record the attitudes to, and perceptions of, drug treatment services by current, ex-, and potential clients in south-east London. Three research instruments were employed: a structured current client satisfaction survey (n = 333); a questionnaire which included open-ended questions, administered to drug users not currently in treatment (n = 88), and focus groups for young drug users not in treatment (n = 14), women in treatment (n = 7) and men in treatment (n = 11). The data thus collected were used to construct a picture of local met and unmet need and obstacles to the uptake of health care, which is supported by more than one perspective, and which can reasonably be used as the basis for the planning of local health care purchase. Three major concerns were revealed by the data: the inadequacy of existing GP drug services; the deterrent effect of long waiting lists for methadone treatment, and the role of treatment services in relation to those drug users who acknowledge that their drug use is problematic, but believe that treatment services have nothing to offer them.
本文报告了定性和定量方法的结合使用情况，这些方法用于记录伦敦东南部现有、曾经和潜在的服务对象对药物治疗服务的态度和看法。采用了三种研究工具：一项针对现有服务对象的结构化满意度调查（n = 333）；一份包含开放式问题的问卷，发放给当前未接受治疗的吸毒者（n = 88）；以及针对未接受治疗的年轻吸毒者（n = 14）、接受治疗的女性（n = 7）和接受治疗的男性（n = 11）的焦点小组。收集到的数据用于描绘当地已满足和未满足的需求以及获取医疗保健的障碍，这些情况得到了多个视角的支持，并且可以合理地用作当地医疗保健购买规划的基础。数据揭示了三个主要问题：现有全科医生药物服务不足；美沙酮治疗长长的等候名单产生的威慑作用；以及治疗服务对于那些承认自己吸毒存在问题，但认为治疗服务无法为其提供帮助的吸毒者所起的作用。
