HIV and Addiction Services for People Who Inject Drugs: Healthcare Provider Perceptions on Integrated Care in the U.S. South
This qualitative study evaluates physician training and experience with treatment and prevention services for people who inject drugs (PWID) including medications for opioid use disorder (MOUD) and HIV pre-exposure prophylaxis (PrEP). The Behavioral Model of Healthcare Utilization for Vulnerable Pop...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2023-03-01
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| Series: | Journal of Primary Care & Community Health |
| Online Access: | https://doi.org/10.1177/21501319231161208 |
| _version_ | 1827986244355751936 |
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| author | Davis Bradford Mariel Parman Sera Levy Wesli H. Turner Li Li Leah Leisch Ellen Eaton Kaylee B. Crockett |
| author_facet | Davis Bradford Mariel Parman Sera Levy Wesli H. Turner Li Li Leah Leisch Ellen Eaton Kaylee B. Crockett |
| author_sort | Davis Bradford |
| collection | DOAJ |
| description | This qualitative study evaluates physician training and experience with treatment and prevention services for people who inject drugs (PWID) including medications for opioid use disorder (MOUD) and HIV pre-exposure prophylaxis (PrEP). The Behavioral Model of Healthcare Utilization for Vulnerable Populations was applied as a framework for data analysis and interpretation. Two focus groups were conducted, one with early career physicians (n = 6) and one with mid- to late career physicians (n = 3). Focus group transcripts were coded and analyzed using thematic analysis to identify factors affecting implementation of treatment and prevention services for PWID. Respondents identified that increasing the availability of providers prescribing MOUD was a critical enabling factor for PWID seeking and receiving care. Integrated, interdisciplinary services were identified as an additional resource although these remain fragmented in the current healthcare system. Barriers to care included provider awareness, stigma associated with substance use, and access limitations. Providers identified the interwoven risk factors associated with injection drug use that must be addressed, including the risk of HIV acquisition, notably more at the forefront in the minds of early career physicians. Additional research is needed addressing the medical education curriculum, health system, and healthcare policy to address the addiction and HIV crises in the U.S. South. |
| first_indexed | 2024-04-09T23:28:54Z |
| format | Article |
| id | doaj.art-bc558332a71a4b898f576310c73eaa01 |
| institution | Directory Open Access Journal |
| issn | 2150-1327 |
| language | English |
| last_indexed | 2024-04-09T23:28:54Z |
| publishDate | 2023-03-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Primary Care & Community Health |
| spelling | doaj.art-bc558332a71a4b898f576310c73eaa012023-03-21T08:03:58ZengSAGE PublishingJournal of Primary Care & Community Health2150-13272023-03-011410.1177/21501319231161208HIV and Addiction Services for People Who Inject Drugs: Healthcare Provider Perceptions on Integrated Care in the U.S. SouthDavis Bradford0Mariel Parman1Sera Levy2Wesli H. Turner3Li Li4Leah Leisch5Ellen Eaton6Kaylee B. Crockett7Department of Psychiatry and Behavioral Neurobiology, University of Alabama at Birmingham, Birmingham, AL, USADivision of Infectious Diseases, University of Alabama at Birmingham, Birmingham, AL, USADivision of Infectious Diseases, University of Alabama at Birmingham, Birmingham, AL, USADivision of Infectious Diseases, University of Alabama at Birmingham, Birmingham, AL, USADepartment of Psychiatry and Behavioral Neurobiology, University of Alabama at Birmingham, Birmingham, AL, USADepartment of Psychiatry and Behavioral Neurobiology, University of Alabama at Birmingham, Birmingham, AL, USADivision of Infectious Diseases, University of Alabama at Birmingham, Birmingham, AL, USADepartment of Family and Community Medicine, University of Alabama at Birmingham, Birmingham, AL, USAThis qualitative study evaluates physician training and experience with treatment and prevention services for people who inject drugs (PWID) including medications for opioid use disorder (MOUD) and HIV pre-exposure prophylaxis (PrEP). The Behavioral Model of Healthcare Utilization for Vulnerable Populations was applied as a framework for data analysis and interpretation. Two focus groups were conducted, one with early career physicians (n = 6) and one with mid- to late career physicians (n = 3). Focus group transcripts were coded and analyzed using thematic analysis to identify factors affecting implementation of treatment and prevention services for PWID. Respondents identified that increasing the availability of providers prescribing MOUD was a critical enabling factor for PWID seeking and receiving care. Integrated, interdisciplinary services were identified as an additional resource although these remain fragmented in the current healthcare system. Barriers to care included provider awareness, stigma associated with substance use, and access limitations. Providers identified the interwoven risk factors associated with injection drug use that must be addressed, including the risk of HIV acquisition, notably more at the forefront in the minds of early career physicians. Additional research is needed addressing the medical education curriculum, health system, and healthcare policy to address the addiction and HIV crises in the U.S. South.https://doi.org/10.1177/21501319231161208 |
| spellingShingle | Davis Bradford Mariel Parman Sera Levy Wesli H. Turner Li Li Leah Leisch Ellen Eaton Kaylee B. Crockett HIV and Addiction Services for People Who Inject Drugs: Healthcare Provider Perceptions on Integrated Care in the U.S. South Journal of Primary Care & Community Health |
| title | HIV and Addiction Services for People Who Inject Drugs: Healthcare Provider Perceptions on Integrated Care in the U.S. South |
| title_full | HIV and Addiction Services for People Who Inject Drugs: Healthcare Provider Perceptions on Integrated Care in the U.S. South |
| title_fullStr | HIV and Addiction Services for People Who Inject Drugs: Healthcare Provider Perceptions on Integrated Care in the U.S. South |
| title_full_unstemmed | HIV and Addiction Services for People Who Inject Drugs: Healthcare Provider Perceptions on Integrated Care in the U.S. South |
| title_short | HIV and Addiction Services for People Who Inject Drugs: Healthcare Provider Perceptions on Integrated Care in the U.S. South |
| title_sort | hiv and addiction services for people who inject drugs healthcare provider perceptions on integrated care in the u s south |
| url | https://doi.org/10.1177/21501319231161208 |
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