scholarly journals A mixed‐methods analysis of patient safety incidents involving opioid substitution treatment with methadone or buprenorphine in community‐based care in England and Wales

Addiction ◽  
2020 ◽  
Vol 115 (11) ◽  
pp. 2066-2076 ◽  
Author(s):  
Russell Gibson ◽  
Natalie MacLeod ◽  
Liam J. Donaldson ◽  
Huw Williams ◽  
Peter Hibbert ◽  
...  
Keyword(s):  
Patient Safety ◽  
Mixed Methods ◽  
Substitution Treatment ◽  
Community Based ◽  
Opioid Substitution Treatment ◽  
England And Wales ◽  
Patient Safety Incidents ◽  
Opioid Substitution

Healthcare Seeking Among Swedish Patients in Opioid Substitution Treatment – a Mixed Methods Study on Barriers and Facilitators

2021 ◽  
Author(s):  
Katja Troberg ◽  
Karin Lundqvist ◽  
Helena Hansson ◽  
Anders Håkansson ◽  
Disa Dahlman
Keyword(s):  
Mixed Methods ◽  
Healthcare System ◽  
Primary Healthcare ◽  
Ageing Population ◽  
Substitution Treatment ◽  
Opioid Substitution Treatment ◽  
Healthcare Seeking ◽  
Healthcare Needs ◽  
Unmet Healthcare Needs ◽  
Opioid Substitution

Abstract Background: Patients in opioid substitution treatment (OST) have poorer health than the general population. Thus, they do not seek somatic health care to the extent that is medically motivated. Barriers hindering patients from seeking medical help through the conventional healthcare system result in a high degree of unmet healthcare needs. Barriers to and facilitators of OST patients’ healthcare seeking have been sparsely examined.Methods: Mixed methods were employed. The quantitative part consisted of a cross-sectional questionnaire covering questions on physical health, healthcare seeking, and barriers thereof, which was collected from 209 patients in OST. A sub-sample of eleven OST patients participated in semi-structured interviews, for the qualitative part of the study, covering experience of healthcare, lifestyle and self-images, expectations and ideals of Swedish healthcare. Results: Confirmed by qualitative data, quantitative data revealed deprioritization, fear of stigma and of being treated badly, and problems in navigation throughout the healthcare system, leading to unsuccessful establishment of contact, being most common reasons for not seeking somatic healthcare. Thus, interviewees provided a deeper knowledge of the barriers stigma, lack of means to prioritize health and difficulties navigating throughout the healthcare system, leading to resignation and deprioritization. On-site primary healthcare seemed to contribute to increased access and utilization of healthcare.Conclusion: Individual and structural barriers decreasing access to healthcare lead to increased inequalities in healthcare utilization, adding to an already deteriorating health of this ageing population. Integration of on-site primary healthcare and OST could provide acceptable and accessible healthcare. Further investigations into this subject need to be conducted.

scholarly journals Patient Safety Incidents Involving Sick Children in Primary Care in England and Wales: A Mixed Methods Analysis

PLoS Medicine ◽  
2017 ◽  
Vol 14 (1) ◽  
pp. e1002217 ◽  
Author(s):  
Philippa Rees ◽  
Adrian Edwards ◽  
Colin Powell ◽  
Peter Hibbert ◽  
Huw Williams ◽  
...  
Keyword(s):  
Primary Care ◽  
Patient Safety ◽  
Mixed Methods ◽  
England And Wales ◽  
Sick Children ◽  
Patient Safety Incidents

scholarly journals Patient safety incidents involving acutely sick adults in hospital assessment units in England and Wales: a mixed methods analysis

2020 ◽  
Vol 7 (Suppl 1) ◽  
pp. s78-s79
Author(s):  
Alexandra Urquhart ◽  
Andrew Carson-Stevens ◽  
Sarah Yardley ◽  
Elin Thomas
Keyword(s):  
Patient Safety ◽  
Mixed Methods ◽  
England And Wales ◽  
Patient Safety Incidents
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