围产期 OUD 治疗提供者对农村患者体验的理解。
Perinatal OUD Treatment Provider Understandings of Rural Patients' Experiences.
机构信息
UNC Health Sciences at MAHEC, Asheville, NC (CL); Family Medicine Residency Program, Mountain Area Health Education Center, Asheville, NC (BA); Medical resident in a program partially supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $1,656,886 with 0 percent financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov. (This statement is required by HRSA to be included in all publications on which a HRSA-funded medical resident is listed as an author.) (BA); Department of Research, UNC Health Sciences at MAHEC, Asheville, NC (BO); Boston University School of Medicine, Boston, MA (BO).
出版信息
J Addict Med. 2022;16(2):177-182. doi: 10.1097/ADM.0000000000000858.
OBJECTIVES
To present perspectives of substance use treatment providers offering perinatal opioid use disorder (OUD) treatment in a largely rural, Appalachian region. To demonstrate the extent to which providers sought to understand their patients' experiences accessing treatment and how this understanding informed providers' approach to offering patient-centered care.
METHODS
A qualitative study combining semi-structured interviews and participant-observation with perinatal substance use treatment providers, conducted within a comprehensive program. Using purposive and opportunistic sampling with key informants (n = 10), a saturation sample was achieved. Data were analyzed using modified Grounded Theory.
RESULTS
Perinatal substance use treatment providers had a good understanding of their patients' experiences seeking treatment for opioid use disorder, including being aware of obstacles patients encountered. This understanding allowed providers to better address patients' needs in and out of the clinic.
CONCLUSIONS
Participants demonstrated a good understanding of what their largely rural, Appalachian patients experienced when attempting to access perinatal OUD treatment. This understanding may enable more patient-centered care.
目的
呈现主要在农村阿巴拉契亚地区提供围产期药物使用障碍（OUD）治疗的物质使用治疗提供者的观点。展示提供者在多大程度上试图了解患者接受治疗的体验，以及这种理解如何为提供者提供以患者为中心的护理方法提供信息。
方法
一项定性研究，在综合计划中结合了半结构化访谈和对围产期物质使用治疗提供者的参与式观察。通过关键信息提供者（n=10）进行有目的和机会抽样，达到了饱和样本。使用改进的扎根理论进行数据分析。
结果
围产期物质使用治疗提供者对患者寻求阿片类药物使用障碍治疗的体验有很好的了解，包括了解患者遇到的障碍。这种理解使提供者能够更好地满足患者在诊所内外的需求。
结论
参与者对他们在很大程度上是农村的阿巴拉契亚地区的患者在尝试获得围产期 OUD 治疗时所经历的情况有很好的了解。这种理解可能能够提供更以患者为中心的护理。
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