Suboptimal nonmedical qualities of primary care linked with care avoidance among people who use drugs in a Canadian setting amid an integrated health care reform

Original research
par
Moallef, Soroush et al

Date de publication

2022

Géographie

Canada

Langue de la ressource

English

Open Access / OK to Reproduce

Non

Évalué par des pairs

Yes

L’objectif

We sought to determine the prevalence of health care avoidance and its association with emergency department use among PWUD and examine patient-reported nonmedical qualities of health care (“responsiveness”).

Constatations/points à retenir

  • About a quarter of our sample of people who use unregulated drugs (PWUD) reported avoiding seeking healthcare for health issues, most commonly for chronic pain and infections.
  • Participants who avoided care were significantly more likely to report emergency department use, after adjustment for potential confounders.
  • All measured non-medical care qualities were found to be sub-optimal and linked with care avoidance, particularly domains of prompt attention, communication, and respect for dignity and autonomy.

La conception ou méthodologie de recherche

Data from two prospective cohort studies

Mots clés

Barriers and enablers
About PWUD
Hospitals
Hesitancy of prescribers
Equity
Chronic pain
Stigma