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تاریخ امروز
چهارشنبه, ۸ اسفند

کاهش مرگ و میر مربوط به مواد مخدر: ارزیابی قبل از اجرای دانش، موانع و توانمند ی برای توزیع نالوکسان از طریق عمل به طور کلی

Reducing drug related deaths: a pre-implementation assessment of knowledge, barriers and enablers for naloxone distribution through general practice

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ورودعضویت
اطلاعات مجله Mathesonet al. BMC Family Practice2014,15:12 http://www.biomedcentral.com/1471-2296/15/12
سال انتشار 2014
فرمت فایل PDF
کد مقاله 21062

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چکیده (انگلیسی):

Background:The Scottish Naloxone Programme aims to reduce Scotland’s high number of drug-related deaths
(DRDs) caused by opiate overdose. It is currently implemented through specialist drug services but General
Practitioners (GPs) are likely to have contact with drug using patients and their families and are therefore in an ideal
position to direct them to naloxone schemes, or provide it themselves. This research gathered baseline data on
GP’s knowledge of and willingness to be involved in DRD prevention, including naloxone administration, prior to
the implementation of primary care based delivery.
Methods:Mixed methods were used comprising a quantitative, postal survey and qualitative telephone interviews.
A questionnaire was sent to 500 GPs across Scotland. An initial mailing was followed by a reminder. A shortened
questionnaire containing seven key questions was posted as a final reminder. Telephone interviews were
conducted with 17 GPs covering a range of demographic characteristics and drug user experience.
Results:A response rate of 55% (240/439) was achieved. There was some awareness of the naloxone programme
but little involvement (3.3%), 9% currently provided routine overdose prevention, there was little involvement in
displaying overdose prevention information (<20%). Knowledge of DRD risk was mixed. There was tentative
willingness to be involved in naloxone prescribing with half of respondents willing to provide this to drug users or
friends/family. However half were uncertain GP based naloxone provision was essential to reduce DRDs.
Factors enabling naloxone distribution were: evidence of effectiveness, appropriate training, and adding to the local
formulary. Interviewees had limited awareness of what naloxone distribution in primary care may involve and
considered naloxone supply as a specialist service rather than a core GP role. Wider attitudinal barriers to
involvement with this group were expressed.
Conclusions:There was poor awareness of the Scottish National Naloxone Programme in participants. Results
indicated GPs did not currently feel sufficiently skilled or knowledgeable to be involved in naloxone provision.
Appropriate training was identified as a key requirement

کلمات کلیدی مقاله (فارسی):

Reducing، drug related ،deaths

کلمات کلیدی مقاله (انگلیسی):

Reducing، drug related ،deaths

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