scholarly journals From controlled opioid substitution treatment to pharmacy delivery of buprenorphine-naloxone and to treatment in primary health care: the views of patients and personnel

2010 ◽  
Vol 10 (6) ◽  
Author(s):  
Jouni Tourunen ◽  
Tuuli Pitkänen ◽  
Teemu Kaskela
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Substitution Treatment ◽  
Opioid Substitution Treatment ◽  
Primary Health ◽  
Opioid Substitution

scholarly journals ‘We’re just seen as people that give out the methadone…’: exploring the role of community pharmacists in the opioid substitution treatment team

2020 ◽  
Vol 12 (4) ◽  
pp. 358
Author(s):  
Rebecca Lukey ◽  
Ben Gray ◽  
Caroline Morris
Keyword(s):  
Health Care ◽  
Community Pharmacists ◽  
Vulnerable Population ◽  
Valuable Insight ◽  
Substitution Treatment ◽  
Treatment Team ◽  
Health Providers ◽  
Opioid Substitution Treatment ◽  
Opioid Substitution

ABSTRACT INTRODUCTIONPeople receiving opioid substitution treatment are a vulnerable population who experience significant health inequities and stigma, but have regular interactions with community pharmacists. Many pharmacists now work collaboratively with other health providers to ensure effective and safe use of medicines, as well as being involved in the prevention and management of chronic health conditions. AIMTo explore the role of New Zealand community pharmacists in the provision of opioid substitution treatment and how they perceive their role as part of the wider opioid substitution treatment team. METHODSSemi-structured video interviews with a purposive sample of 13 diverse pharmacists explored their current practices in providing opioid substitution treatment, and their perceived role in the treatment team. Interviews were audio-recorded and transcribed verbatim. Data were coded and analysed using an inductive thematic approach. RESULTSThis study found that pharmacists are providing accessible support to a population with known barriers to accessing health care. However, participants also identified challenges with communication and a perceived lack of understanding of the pharmacist role as barriers to collaboration with the wider opioid substitution treatment team. DISCUSSIONCollaboration within health-care teams has been shown to improve health outcomes, and pharmacists are well placed to provide health-care services as well as offer valuable insight into clients’ mental and physical wellbeing. Improved communication channels that facilitate information sharing, as well as the opioid substitution treatment team’s recognition of a pharmacist’s role, may facilitate collaboration and, in turn, improve the quality of health care provided to this vulnerable population.

Non-Fatal Deliberate Self-Harm in Three Remote Indigenous Communities in Far North Queensland, Australia

Crisis ◽  
2019 ◽  
Vol 40 (6) ◽  
pp. 422-428 ◽  
Author(s):  
Chris Rouen ◽  
Alan R. Clough ◽  
Caryn West
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Care Center ◽  
Indigenous Communities ◽  
Indigenous Australians ◽  
Deliberate Self Harm ◽  
Health Care Center ◽  
Far North ◽  
Primary Health ◽  
Self Harm

Abstract. Background: Indigenous Australians experience a suicide rate over twice that of the general population. With nonfatal deliberate self-harm (DSH) being the single most important risk factor for suicide, characterizing the incidence and repetition of DSH in this population is essential. Aims: To investigate the incidence and repetition of DSH in three remote Indigenous communities in Far North Queensland, Australia. Method: DSH presentation data at a primary health-care center in each community were analyzed over a 6-year period from January 1, 2006 to December 31, 2011. Results: A DSH presentation rate of 1,638 per 100,000 population was found within the communities. Rates were higher in age groups 15–24 and 25–34, varied between communities, and were not significantly different between genders; 60% of DSH repetitions occurred within 6 months of an earlier episode. Of the 227 DSH presentations, 32% involved hanging. Limitations: This study was based on a subset of a larger dataset not specifically designed for DSH data collection and assesses the subset of the communities that presented to the primary health-care centers. Conclusion: A dedicated DSH monitoring study is required to provide a better understanding of DSH in these communities and to inform early intervention strategies.

Helping rural Vietnam meet its primary health care goals

2000 ◽  
Author(s):  
Judith Blakeley ◽  
Lan Gien ◽  
Purnima Sen ◽  
Maureen Laryea
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Primary Health
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