Eaves Emery R, Trotter Robert T, Marquez Bonnie, Negron Kayla, Doerry Eck, Mensah David, Compton-Gore Kate A, Lanzetta Shana A, Kruithoff Kathryn, Dykman Kaitlyn, Baldwin Julie A
Department of Anthropology, Northern Arizona University, Flagstaff, AZ, United States.
Center for Health Equity Research, Northern Arizona University, Flagstaff, AZ, United States.
Front Sociol. 2022 Aug 22;7:959642. doi: 10.3389/fsoc.2022.959642. eCollection 2022.
During the COVID-19 Pandemic, health care provision changed rapidly and funding became available to assess pandemic-related policy change. Research activities, however, were limited to contactless, online delivery. It was clear early on that some elements of online rapid ethnography were feasible and effective, while others would not approach traditional ethnographic depth. We conducted an online Rapid Assessment, Response, and Evaluation (RARE) project from August 2020 to September 2021 to understand how COVID-19 policy impacted people who use drugs. Our interdisciplinary research team conducted online ethnographic interviews and focus groups with 45 providers and community stakeholders, and 19 clients from rural and urban areas throughout Arizona. In addition, 26 webinars, online trainings, and virtual conferences focused on opioid policy and medication for opioid use disorders (MOUD) were opportunities to observe conversations among providers and program representatives about how best to implement policy changes, how to reach people in recovery, and what aspects of the changes should carry forward into better all-around opioid services in the future. Our RARE project was successful in collecting a range of providers' perspectives on both rural and urban implementation of take-home MOUDs as well as a wide view of national conversations, but client perspectives were limited to those who were not impacted by the policies and continued to attend in-person daily clinic visits. We describe challenges to online rapid ethnography and how online research may have allowed for an in-depth, but incomplete picture of how policy changes during COVID-19 policy affected people with opioid use disorders.
在新冠疫情期间，医疗保健服务迅速改变，并且有资金可用于评估与疫情相关的政策变化。然而，研究活动仅限于非接触式的在线开展。早期就很明显，在线快速人种志的某些要素是可行且有效的，而其他要素则无法达到传统人种志的深度。我们在2020年8月至2021年9月期间开展了一个在线快速评估、响应和评价（RARE）项目，以了解新冠疫情政策如何影响吸毒者。我们的跨学科研究团队对45名提供者和社区利益相关者以及来自亚利桑那州农村和城市地区的19名客户进行了在线人种志访谈和焦点小组讨论。此外，26次关于阿片类药物政策和阿片类药物使用障碍药物治疗（MOUD）的网络研讨会、在线培训和虚拟会议，为观察提供者和项目代表之间关于如何最好地实施政策变化、如何接触康复者以及这些变化的哪些方面应在未来转化为更好的全方位阿片类药物服务的对话提供了机会。我们的RARE项目成功收集了一系列提供者对农村和城市地区居家MOUD实施情况的看法以及对全国性对话的广泛观点，但客户的观点仅限于那些未受政策影响且继续亲自参加每日门诊就诊的人。我们描述了在线快速人种志面临的挑战，以及在线研究如何可能提供了一个关于新冠疫情期间政策变化如何影响阿片类药物使用障碍患者的深入但不完整的情况。
