Hoffmann Laura, Schumann Nadine, Richter Matthias
Institut für Medizinische Soziologie, Martin-Luther-Universität Halle-Wittenberg.
Rehabilitation (Stuttg). 2018 Dec;57(6):364-371. doi: 10.1055/s-0043-121492. Epub 2017 Nov 28.
The study explores central barriers impeding the access to inpatient rehabilitation of methamphetamine addicts and investigates how these barriers can be tackled.
The experiences and perspectives of experts from different healthcare sectors were explored within 39 semi-structured individual interviews. Subsequently, the results gathered in the course of the individual interviews were discussed within 2 inter-professional focus groups. All interviews and focus group discussions were analyzed according to the interpretive analysis method of Meuser & Nagel.
Structural issues in particular impair the access to inpatient rehabilitation of methamphetamine dependents. This includes impeded access to rehabilitation via general practitioners, rare implementation of seamless transitions, capacity problems as well as non-transparent procedures in terms of treatment facility allocations.
Various barriers impair access to inpatient rehabilitation of methamphetamine dependents. It is important to increase awareness of methamphetamine addicts and their specific needs particularly among general practitioners. Furthermore, it is important to ensure seamless transitions from detoxification treatment to inpatient rehabilitation and to reduce waiting periods as well as to provide well-differentiated and appropriate rehabilitation options.
本研究探讨阻碍甲基苯丙胺成瘾者获得住院康复治疗的核心障碍，并研究如何克服这些障碍。
通过39次半结构化个人访谈，探讨了不同医疗保健部门专家的经验和观点。随后，在2个跨专业焦点小组中讨论了个人访谈过程中收集到的结果。所有访谈和焦点小组讨论均根据Meuser & Nagel的解释性分析方法进行分析。
结构性问题尤其阻碍了甲基苯丙胺依赖者获得住院康复治疗。这包括通过全科医生获得康复治疗的途径受阻、无缝过渡的罕见实施、能力问题以及治疗设施分配方面的程序不透明。
各种障碍阻碍了甲基苯丙胺依赖者获得住院康复治疗。提高对甲基苯丙胺成瘾者及其特殊需求的认识尤为重要，特别是在全科医生中。此外，确保从戒毒治疗到住院康复的无缝过渡、减少等待时间以及提供差异化和适当的康复选择也很重要。
