Evidence map›Paper›PMID 26498577›Full record

ArticleAddiction (Abingdon, England)2016

Advancing patient-centered care for structurally vulnerable drug-using populations: a qualitative study of the perspectives of people who use drugs regarding the potential integration of harm reduction interventions into hospitals.

Ryan McNeil, Thomas Kerr, Bernie Pauly, Evan Wood, Will Small

Abstract read
In one paragraph

Article in Addiction (Abingdon, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

63 citing papers in PubMed, 2 syntheses or guidelines pooled it, 130 citations in OpenAlex.

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3 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Ryan McNeilBC Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada.
Thomas KerrBC Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada.
Bernie PaulySchool of Nursing, University of Victoria, Victoria, BC, Canada.
Evan WoodBC Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada.
Will SmallBC Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada.
AIDS Vancouver · CASimon Fraser University · CAUniversity of Victoria · CA

Funding

Vancouver Drug Users Study: The Impacts of Evolving Drug Use Patterns on HIV/AIDSU01DA038886 · NIDA · UNIVERSITY OF BRITISH COLUMBIA · PI DEBECK, KORA, HAYASHI, KANNA · 2015 to 2024
$12.1M
HIV Risk Environments among FSW and DU: A Longitudinal Ethno-Spatial ApproachR01DA033147 · NIDA · UNIVERSITY OF BRITISH COLUMBIA · PI KERR, THOMAS, SHANNON, KATE · 2012 to 2016
$1.8M
NIDA NIH HHS R01 DA033147NIDA NIH HHS U01 DA038886
6 · The paper itself

Abstract

aimsTo explore the perspectives of structurally vulnerable people who use drugs (PWUD) regarding: (1) the potential integration of harm reduction interventions (e.g. supervised drug consumption services, opioid-assisted treatment) into hospitals; and (2) the implications of these interventions for patient-centered care, hospital outcomes and drug-related risks and harms.

designSemi-structured qualitative interviews.

settingVancouver, Canada.

participantsThirty structurally vulnerable PWUD who had been discharged from hospital against medical advice within the past 2 years, and hospitalized multiple times over the past 5 years. MEASUREMENTS: Semi-structured interview guide including questions to elicit perspectives on hospital-based harm reduction interventions.

findingsParticipant accounts highlighted that hospital-based harm reduction interventions would promote patient-centered care by: (1) prioritizing hospital care access and risk reduction over the enforcement of abstinence-based drug policies; (2) increasing responsiveness to subjective health needs (e.g. pain and withdrawal symptoms); and (3) fostering 'culturally safe' care.

conclusionsHospital-based harm reduction interventions for people who use drugs, such as supervised drug consumption services and opioid-assisted treatment, can potentially improve hospital care retention, promote patient-centered care and reduce adverse health outcomes among people who use drugs.

Indexed as

Drug UsersHarm ReductionHospitalsVulnerable PopulationsAdultFemaleHumansInterviews as TopicMaleMiddle AgedPatient-Centered CarePatient DischargeQualitative ResearchRiskSubstance-Related DisordersDrug usersharm reductionhealth serviceshospitalspatient-centered carequalitative

Identifiers

PMID26498577
PMCPMC4801725
OpenAlexW2137743503

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.