tailieunhanh - báo cáo khoa học: " Innocent parties or devious drug users: the views of primary healthcare practitioners with respect to those who misuse prescription drugs"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Innocent parties or devious drug users: the views of primary healthcare practitioners with respect to those who misuse prescription drugs | Butler and Sheridan Harm Reduction Journal 2010 7 21 http content 7 1 21 HARM REDUCTION JOURNAL RESEARCH Open Access Innocent parties or devious drug users the views of primary healthcare practitioners with respect to those who misuse prescription drugs Rachael Butler Janie Sheridan Abstract Background Many health professionals engage in providing health services for drug users however there is evidence of stigmatisation by some health professionals. Prescription drug misusers as a specific group may also be subject to such judgment. This study aimed to understand issues for primary care health practitioners in relation to prescription drug misuse PDM by exploring the attitudes and experiences of healthcare professionals with respect to PDM. Methods Tape-recorded interviews were conducted with a purposive sample of general practitioners 17 community pharmacists 16 and key experts 18 in New Zealand. Interviews were transcribed verbatim and a thematic analysis undertaken. Participants were offered vouchers to the value of NZ 30 for their participation. Results A major theme that was identified was that of two different types of patients involved in PDM as described by participants - the abuser and the overuser . The abuser was believed to acquire prescription medicines through deception for their own use or for selling on to the illicit market to use the drugs recreationally for a high or to stave off withdrawal from illicit drugs. Overusers were characterised as having become addicted through inadvertent overuse and over prescribing and were generally viewed more sympathetically by practitioners. It also emerged that practitioners attitudes may have impacted on whether any harm reduction interventions might be offered. Furthermore whilst practitioners might be more willing to offer help to the over-user it seemed that there is a lack of appropriate services for this group who may also lack a peer support network. Conclusions A binary .