id:"swepub:oai:lup.lub.lu.se:0e8ad0e7-c21c-43af-932c-716c0b8f30a7"
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- Troberg, KatjaLund University,Lunds universitet,Enheten för klinisk beroendeforskning,Forskargrupper vid Lunds universitet,Clinical addiction research unit,Lund University Research Groups,Skåne University Hospital (författare)
Healthcare seeking among Swedish patients in opioid substitution treatment – a mixed methods study on barriers and facilitators
- Artikel/kapitelEngelska2022
Förlag, utgivningsår, omfång ...
- 2022-02-05
- Springer Science and Business Media LLC,2022
Nummerbeteckningar
- LIBRIS-ID:oai:lup.lub.lu.se:0e8ad0e7-c21c-43af-932c-716c0b8f30a7
- https://lup.lub.lu.se/record/0e8ad0e7-c21c-43af-932c-716c0b8f30a7URI
- https://doi.org/10.1186/s13011-022-00434-wDOI
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- Språk:engelska
- Sammanfattning på:engelska
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- 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 (PHC) 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.
Ämnesord och genrebeteckningar
- MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi hsv//swe
- MEDICAL AND HEALTH SCIENCES Health Sciences Public Health, Global Health, Social Medicine and Epidemiology hsv//eng
- Barriers and facilitators
- Healthcare seeking
- Opioid substitution treatment
- Stigma
- Unmet healthcare needs
Biuppslag (personer, institutioner, konferenser, titlar ...)
- Lundqvist, KarinLund University,Region Skåne (författare)
- Hansson, HelenaLund University,Lunds universitet,Socialhögskolan,Samhällsvetenskapliga institutioner och centrumbildningar,Samhällsvetenskapliga fakulteten,School of Social Work,Departments of Administrative, Economic and Social Sciences,Faculty of Social Sciences(Swepub:lu)alk-hha (författare)
- Håkansson, AndersLund University,Lunds universitet,Enheten för klinisk beroendeforskning,Forskargrupper vid Lunds universitet,Clinical addiction research unit,Lund University Research Groups,Skåne University Hospital(Swepub:lu)med-adh (författare)
- Dahlman, DisaLund University,Lunds universitet,Enheten för klinisk beroendeforskning,Forskargrupper vid Lunds universitet,Clinical addiction research unit,Lund University Research Groups,Region Skåne(Swepub:lu)med-ddm (författare)
- Enheten för klinisk beroendeforskningForskargrupper vid Lunds universitet (creator_code:org_t)
Sammanhörande titlar
- Ingår i:Substance Abuse: Treatment, Prevention, and Policy: Springer Science and Business Media LLC17:11747-597X
Internetlänk
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- Substance Abuse: Treatment, Prevention, and Policy (Sök värdpublikationen i LIBRIS)
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- Troberg, Katja
- Lundqvist, Karin
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- Dahlman, Disa
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