School of Global Health Management & Informatics, University of Central Florida, Orlando, FL, USA.
Department of Internal Medicine, University of Central Florida, Orlando, FL, USA.
J Addict Dis. 2024 Oct-Dec;42(4):384-399. doi: 10.1080/10550887.2023.2247810. Epub 2023 Aug 21.
Person-centered care (PCC) is an ethical imperative with eight domains, but operation of some PCC domains in substance use disorder (SUD) treatment has been underexplored.
We sought to identify strategies for operationalizing eight PCC domains in SUD treatment facilities and themes across these strategies.
We recruited 36 clients and staff from a large publicly funded behavioral health system for individual, semi-structured qualitative interviews. Interviews explored preferences and care experiences for each PCC domain. We analyzed data using iterative categorization, identifying specific operationalization strategies and themes across operationalization strategies within each domain.
PCC operationalization themes for residential SUD treatment included addressing social vulnerability of clients (e.g., through assistance with housing and navigation of criminal/legal systems), involving peer support specialists (e.g., to provide emotional support and aid transition out of care), supporting the client's family throughout treatment (e.g., providing progress updates; increasing visitation opportunities in residential treatment), and facilitating patient choice within each domain (e.g., treatment type; housing type; roommate preferences in residential treatment.).
DISCUSSION & CONCLUSION: Some PCC operationalization strategies are unique to SUD treatment. Several PCC operationalization strategies applied to multiple domains, suggesting conceptual overlap between domains.
以患者为中心的护理（PCC）是具有八个领域的道德要求，但在物质使用障碍（SUD）治疗中，某些 PCC 领域的运作仍未得到充分探索。
我们旨在确定在 SUD 治疗机构中实施 PCC 八个领域的策略，以及这些策略中的主题。
我们从一个大型公共资助的行为健康系统中招募了 36 名客户和员工，进行了个体、半结构化的定性访谈。访谈探讨了每个 PCC 领域的偏好和护理体验。我们使用迭代分类法分析数据，确定每个领域的具体实施策略和实施策略中的主题。
住院 SUD 治疗的 PCC 实施主题包括解决客户的社会脆弱性（例如，通过住房援助和刑事/法律系统导航），包括同伴支持专家（例如，提供情感支持和帮助过渡离开护理），在整个治疗过程中支持客户的家庭（例如，提供进度更新；增加住院治疗中的探视机会），并在每个领域中促进患者选择（例如，治疗类型；住房类型；住院治疗中的室友偏好）。
一些 PCC 实施策略是 SUD 治疗特有的。一些 PCC 实施策略适用于多个领域，表明领域之间存在概念重叠。
