NDLI: Valoración de los usuarios de un programa de reducción de daños integrado en un ambulatorio de drogodependencias.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Daigre, Constanza Comín, Marina Rodríguez-Cintas, Laia Voltes, Nuria Alvarez, Alba Roncero, Carlos Gonzalvo, Begoña Casas, Miguel
Description	Author Affiliation: Daigre C ( CAS Vall d'Hebron, Servicio de Psiquiatría, Hospital Universitario Vall d'Hebron, Barcelona, España. cdaigre@vhebron.net)
Abstract	OBJECTIVES: We analyzed the perspective of users enrolled in a harm reduction program that provides syringe exchange, an educational room for «warmth and coffee¼, a methadone maintenance program, a room for supervised drug consumption, a place for personal hygiene, and medical and psychosocial follow-up. The particularity of this program lies in its integration within an outpatient drug treatment center forming part of a general hospital. METHODS: We performed a descriptive study using qualitative methods. Theoretical sampling was conducted. Twelve in-depth interviews and one focus group composed of eight users were carried out. Information analysis was based on grounded theory. Literal transcriptions were coded and subsequently sorted into broad categories. Three researchers participated in this process and finally a fourth researcher triangulated the results. RESULTS: Five dimensions were identified in the users' discourse: accessibility, service, relationship, localization, and identity. Each consisted of several topics that were evaluated based on the participants' experiences and expectations. The dimension of identity emerged as a distinctive element in patient-program bonding. CONCLUSIONS: The users' overall evaluation of the program was positive. Facilitators and barriers influencing patient-program bonding were identified and participants suggested ways to remove barriers. The coexistence among users of the harm reduction program and patients treated conventionally provoked ambivalence but the team's management was deemed helpful in easing the difficulties arising from this situation.
Related Links	http://www.scielosp.org/scielo.php?script=sci_arttext&nrm=iso&lng=pt&tlng=pt&pid=S0213-91112010000600003
File Format	HTM / HTML
ISSN	02139111
Issue Number	6
Volume Number	24
e-ISSN	15781283
Journal	Gaceta Sanitaria
Language	Spanish
Publisher	Elsevier
Publisher Date	2010-11-01
Publisher Place	Spain
Access Restriction	Subscribed
Subject Keyword	Discipline Public Health Ambulatory Care Patient Satisfaction Risk Reduction Behavior Substance-related Disorders Therapy Adult Female Humans Male Middle Aged Young Adult English Abstract Journal Article Research Support, Non-u.s. Gov't
Alternative Title	Users' perception of a harm reduction program in an outpatient drug dependency treatment center
Content Type	Text
Resource Type	Article
Subject	Public Health, Environmental and Occupational Health

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