Inpatient care provider perspectives on the development and implementation of an addiction medicine consultation service in a small urban setting
Abstract Background To evaluate provider perspectives on the development and implementation of an inpatient Addiction Medicine Consult Service, including their awareness of the service, its perceived role in the continuum of care, and changes over time in their perceptions of care quality for inpati...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-10-01
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| Series: | Substance Abuse Treatment, Prevention, and Policy |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13011-022-00497-9 |
| _version_ | 1811198098371772416 |
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| author | Madelaine Beckett Ramm Hering Karen Urbanoski |
| author_facet | Madelaine Beckett Ramm Hering Karen Urbanoski |
| author_sort | Madelaine Beckett |
| collection | DOAJ |
| description | Abstract Background To evaluate provider perspectives on the development and implementation of an inpatient Addiction Medicine Consult Service, including their awareness of the service, its perceived role in the continuum of care, and changes over time in their perceptions of care quality for inpatients with substance use disorders. Methods Repeated cross-sectional survey of hospital-based physicians, nurses and social workers performed at service launch (April–June, 2017) and 4 years later (March–June, 2021). Results Providers had generally positive perceptions of the service and its impact on care quality, but encountered significant barriers at both time points in meeting patient needs (related to high patient complexity and difficulty connecting patients with community services post-discharge). Relative to physicians and social workers, nurses were less likely to be familiar with the service or see it as beneficial. Conclusions Findings indicate that the service fills a gap that existed previously in the local system of care; however, numerous opportunities exist to further strengthen the system beyond the hospital setting to promote longer-term health among people who use substances. For nurses in particular, outreach, education, and other resources (e.g., dedicated nursing role support, nurse liaison) are warranted to ensure that nurses feel supported and confident caring for this patient population. |
| first_indexed | 2024-04-12T01:25:05Z |
| format | Article |
| id | doaj.art-296b11c59a594c3882159e76b1352423 |
| institution | Directory Open Access Journal |
| issn | 1747-597X |
| language | English |
| last_indexed | 2024-04-12T01:25:05Z |
| publishDate | 2022-10-01 |
| publisher | BMC |
| record_format | Article |
| series | Substance Abuse Treatment, Prevention, and Policy |
| spelling | doaj.art-296b11c59a594c3882159e76b13524232022-12-22T03:53:40ZengBMCSubstance Abuse Treatment, Prevention, and Policy1747-597X2022-10-0117111010.1186/s13011-022-00497-9Inpatient care provider perspectives on the development and implementation of an addiction medicine consultation service in a small urban settingMadelaine Beckett0Ramm Hering1Karen Urbanoski2Department of Medicine, University of British ColumbiaIsland HealthCanadian Institute for Substance Use Research, University of VictoriaAbstract Background To evaluate provider perspectives on the development and implementation of an inpatient Addiction Medicine Consult Service, including their awareness of the service, its perceived role in the continuum of care, and changes over time in their perceptions of care quality for inpatients with substance use disorders. Methods Repeated cross-sectional survey of hospital-based physicians, nurses and social workers performed at service launch (April–June, 2017) and 4 years later (March–June, 2021). Results Providers had generally positive perceptions of the service and its impact on care quality, but encountered significant barriers at both time points in meeting patient needs (related to high patient complexity and difficulty connecting patients with community services post-discharge). Relative to physicians and social workers, nurses were less likely to be familiar with the service or see it as beneficial. Conclusions Findings indicate that the service fills a gap that existed previously in the local system of care; however, numerous opportunities exist to further strengthen the system beyond the hospital setting to promote longer-term health among people who use substances. For nurses in particular, outreach, education, and other resources (e.g., dedicated nursing role support, nurse liaison) are warranted to ensure that nurses feel supported and confident caring for this patient population.https://doi.org/10.1186/s13011-022-00497-9Addiction medicine consultInpatient careCare qualitySurvey research |
| spellingShingle | Madelaine Beckett Ramm Hering Karen Urbanoski Inpatient care provider perspectives on the development and implementation of an addiction medicine consultation service in a small urban setting Substance Abuse Treatment, Prevention, and Policy Addiction medicine consult Inpatient care Care quality Survey research |
| title | Inpatient care provider perspectives on the development and implementation of an addiction medicine consultation service in a small urban setting |
| title_full | Inpatient care provider perspectives on the development and implementation of an addiction medicine consultation service in a small urban setting |
| title_fullStr | Inpatient care provider perspectives on the development and implementation of an addiction medicine consultation service in a small urban setting |
| title_full_unstemmed | Inpatient care provider perspectives on the development and implementation of an addiction medicine consultation service in a small urban setting |
| title_short | Inpatient care provider perspectives on the development and implementation of an addiction medicine consultation service in a small urban setting |
| title_sort | inpatient care provider perspectives on the development and implementation of an addiction medicine consultation service in a small urban setting |
| topic | Addiction medicine consult Inpatient care Care quality Survey research |
| url | https://doi.org/10.1186/s13011-022-00497-9 |
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