Department of Medicine, Oregon Health & Science University, Portland, OR, United States of America.
School of Medicine, Oregon Health & Science University, Portland, OR, United States of America.
PLoS One. 2021 Feb 26;16(2):e0247951. doi: 10.1371/journal.pone.0247951. eCollection 2021.
The SARS-COV-2 pandemic rapidly shifted dynamics around hospitalization for many communities. This study aimed to evaluate how the pandemic altered the experience of healthcare, acute illness, and care transitions among hospitalized patients with substance use disorder (SUD).
We performed a qualitative study at an academic medical center in Portland, Oregon, in Spring 2020. We conducted semi-structured interviews, and conducted a thematic analysis, using an inductive approach, at a semantic level.
We enrolled 27 participants, and identified four main themes: 1) shuttered community resources threatened patients' basic survival adaptations; 2) changes in outpatient care increased reliance on hospitals as safety nets; 3) hospital policy changes made staying in the hospital harder than usual; and, 4) care transitions out of the hospital were highly uncertain.
Hospitalized adults with SUD were further marginalized during the SARS-COV-2 pandemic. Systems must address the needs of marginalized patients in future disruptive events.
SARS-CoV-2 大流行迅速改变了许多社区住院治疗的动态。本研究旨在评估大流行如何改变患有物质使用障碍 (SUD) 的住院患者的医疗保健、急性疾病和护理过渡体验。
我们在 2020 年春季于俄勒冈州波特兰市的一家学术医疗中心进行了一项定性研究。我们进行了半结构化访谈，并使用语义层面的归纳方法进行了主题分析。
我们招募了 27 名参与者，并确定了四个主要主题：1）关闭的社区资源威胁到患者的基本生存适应能力；2）门诊护理的变化增加了对医院作为安全网的依赖；3）医院政策的变化使得住院比以往更困难；4）出院后的护理过渡极不确定。
患有 SUD 的住院成年人在 SARS-CoV-2 大流行期间进一步被边缘化。系统必须在未来的破坏性事件中解决边缘化患者的需求。
