Oregon Health & Science University School of Medicine, Portland, OR, USA.
Hanoi Medical University, Hanoi, Vietnam.
J Behav Health Serv Res. 2021 Apr;48(2):274-286. doi: 10.1007/s11414-020-09730-4.
UNAIDS recommends integration of medications for substance use disorders (SUD) with HIV care to improve HIV outcomes. Yet, integration of HIV and SUD services remains limited in many countries. The objective of this study was to assess provider perceptions of care integration in Vietnam. Qualitative interviews were conducted with 43 providers (nurses, physicians, counselors, pharmacists, and clinic managers) in 8 HIV clinics in northern Vietnam, 2013-2015. Providers identified five themes informing HIV and SUD treatment integration: (1) treatment for alcohol use disorder is often neglected compared to other SUD treatment; (2) structural challenges must be addressed to increase integration feasibility; (3) workforce limitations; (4) societal and healthcare stigmatization of SUD; and (5) providers' conflicting views regarding integration challenges. The experience of providers in Vietnam may be useful to other countries attempting to integrate HIV and SUD services.
艾滋病署建议将药物治疗物质使用障碍（SUD）与艾滋病毒护理相结合，以改善艾滋病毒治疗效果。然而，在许多国家，艾滋病毒和 SUD 服务的整合仍然有限。本研究的目的是评估越南提供者对护理整合的看法。2013 年至 2015 年，在越南北部的 8 个艾滋病毒诊所中，对 43 名提供者（护士、医生、顾问、药剂师和诊所经理）进行了定性访谈。提供者确定了五个主题，为艾滋病毒和 SUD 治疗的整合提供了信息：（1）与其他 SUD 治疗相比，酒精使用障碍的治疗经常被忽视；（2）必须解决结构性挑战，以提高整合的可行性；（3）劳动力限制；（4）社会和医疗保健对 SUD 的污名化；（5）提供者对整合挑战的看法存在冲突。越南提供者的经验可能对其他试图整合艾滋病毒和 SUD 服务的国家有用。
