[Poor uptake of service provision at a drug-related emergency department a qualitative study]. / Ubenyttet behandlingstilbud ved rusakuttmottak en kvalitativ studie.
Tidsskr Nor Laegeforen
; 143(5)2023 03 28.
Article
en Nor
| MEDLINE
| ID: mdl-36987889
ABSTRACT
BACKGROUND:
The patient pathway for follow-up after a drug overdose, which is an important part of Norway's national overdose strategy, started up on 1 January 2022. Four years earlier, a collaboration was initiated between the ambulance service and the drug-related emergency department at Oslo University Hospital with the same aim as this patient pathway to provide emergency follow-up in the specialist health service after a drug overdose. Uptake of the follow-up provision was minimal, and the purpose of this study was to investigate the reasons behind this. MATERIAL ANDMETHOD:
We used a case study design and carried out twelve qualitative interviews with representatives from the ambulance service, the drug-related emergency department and the service user group. A thematic analysis of the interviews was then conducted.RESULTS:
The analysis revealed five thematic areas with different explanations for the poor uptake of the service provision. There was insufficient information about the provision, and the admission criteria were unclear. Communication issues between the ambulance service and the drug-related emergency department meant that the provision did not function as an emergency service. The service users' wishes after an overdose did not correspond fully with the provision, and uptake was sometimes associated with sanctions.INTERPRETATION:
The results show that things could have been done differently at a local level, but also that the content of the patient pathway is unclear, and that general guidelines can lead to the provision being perceived as unsafe. The knowledge generated from this survey can help uncover areas that require improvement at a national level in the follow-up pathway after a drug overdose.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Trastornos Relacionados con Sustancias
/
Servicios Médicos de Urgencia
/
Sobredosis de Droga
Tipo de estudio:
Qualitative_research
Límite:
Humans
Idioma:
Nor
Revista:
Tidsskr Nor Laegeforen
Año:
2023
Tipo del documento:
Article