Advancing virtual primary care for people with opioid use disorder (VPC OUD): a mixed-methods study protocol
Introduction The emergence of COVID-19 introduced a dual public health emergency in British Columbia, which was already in the fourth year of its opioid-related overdose crisis. The public health response to COVID-19 must explicitly consider the unique needs of, and impacts on, communities experienc...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2022-09-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/9/e067608.full |
| _version_ | 1811194817686798336 |
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| author | Lianping Ti Jan Klimas Kimberlyn McGrail Bohdan Nosyk Christy Sutherland Lindsay Hedden Amanda Giesler Michael Law Sarah Spencer Kanna Hayashi Paxton Bach Sandra Peterson Rita K McCracken Shawna Narayan Ellie Gooderham Jade Boyd Christina Chakanyuka Seles Yung Fred Cameron Renee Fernandez Nardia Strydom |
| author_facet | Lianping Ti Jan Klimas Kimberlyn McGrail Bohdan Nosyk Christy Sutherland Lindsay Hedden Amanda Giesler Michael Law Sarah Spencer Kanna Hayashi Paxton Bach Sandra Peterson Rita K McCracken Shawna Narayan Ellie Gooderham Jade Boyd Christina Chakanyuka Seles Yung Fred Cameron Renee Fernandez Nardia Strydom |
| author_sort | Lianping Ti |
| collection | DOAJ |
| description | Introduction The emergence of COVID-19 introduced a dual public health emergency in British Columbia, which was already in the fourth year of its opioid-related overdose crisis. The public health response to COVID-19 must explicitly consider the unique needs of, and impacts on, communities experiencing marginalisation including people with opioid use disorder (PWOUD). The broad move to virtual forms of primary care, for example, may result in changes to healthcare access, delivery of opioid agonist therapies or fluctuations in co-occurring health problems that are prevalent in this population. The goal of this mixed-methods study is to characterise changes to primary care access and patient outcomes following the rapid introduction of virtual care for PWOUD.Methods and analysis We will use a fully integrated mixed-methods design comprised of three components: (a) qualitative interviews with family physicians and PWOUD to document experiences with delivering and accessing virtual visits, respectively; (b) quantitative analysis of linked, population-based administrative data to describe the uptake of virtual care, its impact on access to services and downstream outcomes for PWOUD; and (c) facilitated deliberative dialogues to co-create educational resources for family physicians, PWOUD and policymakers that promote equitable access to high-quality virtual primary care for this population.Ethics and dissemination Approval for this study has been granted by Research Ethics British Columbia. We will convene PWOUD and family physicians for deliberative dialogues to co-create educational materials and policy recommendations based on our findings. We will also disseminate findings via traditional academic outputs such as conferences and peer-reviewed publications. |
| first_indexed | 2024-04-12T00:32:54Z |
| format | Article |
| id | doaj.art-3bd2cce75aa34a75a446fc430a165bfa |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-04-12T00:32:54Z |
| publishDate | 2022-09-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-3bd2cce75aa34a75a446fc430a165bfa2022-12-22T03:55:15ZengBMJ Publishing GroupBMJ Open2044-60552022-09-0112910.1136/bmjopen-2022-067608Advancing virtual primary care for people with opioid use disorder (VPC OUD): a mixed-methods study protocolLianping Ti0Jan Klimas1Kimberlyn McGrail2Bohdan Nosyk3Christy Sutherland4Lindsay Hedden5Amanda Giesler6Michael Law7Sarah Spencer8Kanna Hayashi9Paxton Bach10Sandra Peterson11Rita K McCracken12Shawna Narayan13Ellie Gooderham14Jade Boyd15Christina Chakanyuka16Seles Yung17Fred Cameron18Renee Fernandez19Nardia Strydom203 Department of Medicine, University of British Columbia Faculty of Medicine, Vancouver, British Columbia, Canada2 Department of Family Practice, University of British Columbia Faculty of Medicine, Vancouver, British Columbia, Canada6 Centre for Health Services and Policy Research, University of British Columbia, Vancouver, British Columbia, Canada1 Simon Fraser University Faculty of Health Sciences, Burnaby, British Columbia, Canada2 Department of Family Practice, University of British Columbia Faculty of Medicine, Vancouver, British Columbia, Canada1 Simon Fraser University Faculty of Health Sciences, Burnaby, British Columbia, Canada4 British Columbia Centre on Substance Use, Vancouver, British Columbia, Canada6 Centre for Health Services and Policy Research, University of British Columbia, Vancouver, British Columbia, Canada1 Simon Fraser University Faculty of Health Sciences, Burnaby, British Columbia, Canada1 Simon Fraser University Faculty of Health Sciences, Burnaby, British Columbia, Canada3 Department of Medicine, University of British Columbia Faculty of Medicine, Vancouver, British Columbia, Canada6 Centre for Health Services and Policy Research, University of British Columbia, Vancouver, British Columbia, Canada2 Department of Family Practice, University of British Columbia Faculty of Medicine, Vancouver, British Columbia, Canada2 Department of Family Practice, University of British Columbia Faculty of Medicine, Vancouver, British Columbia, Canada1 Simon Fraser University Faculty of Health Sciences, Burnaby, British Columbia, Canada3 Department of Medicine, University of British Columbia Faculty of Medicine, Vancouver, British Columbia, Canada5 Faculty of Human and Social Development, University of Victoria School of Nursing, Victoria, British Columbia, Canada6 Centre for Health Services and Policy Research, University of British Columbia, Vancouver, British Columbia, Canada8 SOLID Outreach Society, Victoria, British Columbia, Canada9 BC Family Doctors, Vancouver, British Columbia, Canada10 Department of Primary Care, Vancouver Coastal Health Authority, Vancouver, British Columbia, CanadaIntroduction The emergence of COVID-19 introduced a dual public health emergency in British Columbia, which was already in the fourth year of its opioid-related overdose crisis. The public health response to COVID-19 must explicitly consider the unique needs of, and impacts on, communities experiencing marginalisation including people with opioid use disorder (PWOUD). The broad move to virtual forms of primary care, for example, may result in changes to healthcare access, delivery of opioid agonist therapies or fluctuations in co-occurring health problems that are prevalent in this population. The goal of this mixed-methods study is to characterise changes to primary care access and patient outcomes following the rapid introduction of virtual care for PWOUD.Methods and analysis We will use a fully integrated mixed-methods design comprised of three components: (a) qualitative interviews with family physicians and PWOUD to document experiences with delivering and accessing virtual visits, respectively; (b) quantitative analysis of linked, population-based administrative data to describe the uptake of virtual care, its impact on access to services and downstream outcomes for PWOUD; and (c) facilitated deliberative dialogues to co-create educational resources for family physicians, PWOUD and policymakers that promote equitable access to high-quality virtual primary care for this population.Ethics and dissemination Approval for this study has been granted by Research Ethics British Columbia. We will convene PWOUD and family physicians for deliberative dialogues to co-create educational materials and policy recommendations based on our findings. We will also disseminate findings via traditional academic outputs such as conferences and peer-reviewed publications.https://bmjopen.bmj.com/content/12/9/e067608.full |
| spellingShingle | Lianping Ti Jan Klimas Kimberlyn McGrail Bohdan Nosyk Christy Sutherland Lindsay Hedden Amanda Giesler Michael Law Sarah Spencer Kanna Hayashi Paxton Bach Sandra Peterson Rita K McCracken Shawna Narayan Ellie Gooderham Jade Boyd Christina Chakanyuka Seles Yung Fred Cameron Renee Fernandez Nardia Strydom Advancing virtual primary care for people with opioid use disorder (VPC OUD): a mixed-methods study protocol BMJ Open |
| title | Advancing virtual primary care for people with opioid use disorder (VPC OUD): a mixed-methods study protocol |
| title_full | Advancing virtual primary care for people with opioid use disorder (VPC OUD): a mixed-methods study protocol |
| title_fullStr | Advancing virtual primary care for people with opioid use disorder (VPC OUD): a mixed-methods study protocol |
| title_full_unstemmed | Advancing virtual primary care for people with opioid use disorder (VPC OUD): a mixed-methods study protocol |
| title_short | Advancing virtual primary care for people with opioid use disorder (VPC OUD): a mixed-methods study protocol |
| title_sort | advancing virtual primary care for people with opioid use disorder vpc oud a mixed methods study protocol |
| url | https://bmjopen.bmj.com/content/12/9/e067608.full |
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