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Improving access to primary health care for chronic drug users: an innovative systemic intervention for providers.
McCoy, H Virginia; Messiah, Sarah E; Zhao, Wei.
Afiliación
  • McCoy HV; Department of Public Health, Florida International University, 3000 N.E., 151 Street, ACI-394, North Miami, FL 33181, USA. mccoyh@fiu.edu
J Behav Health Serv Res ; 29(4): 445-57, 2002 Nov.
Article en En | MEDLINE | ID: mdl-12404938
An intervention was designed to improve access to primary care for chronic drug users (CDUs) by enhancing health care providers' knowledge and skills. Using a case study method, three study sites were systematically selected for intervention implementation: a primary care clinic (PC), an emergency department (ED), and a drug treatment (DT) facility. Participants completed pre- and postintervention tests of knowledge, skills, and intentions to practice. Compared with pretest scores, participants had significantly higher posttest scores concerning knowledge of CDUs' health care needs. Postintervention evaluations indicated intentions to practice skills learned in the intervention. As hypothesized, the PC and ED subsequently instituted formal screening mechanisms to identify CDUs. This intervention revealed potential to build bridges between health care providers and CDUs. By overcoming provider resistance, primary care access can be realized for this and other disadvantaged populations.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención Primaria de Salud / Desarrollo de Personal / Centros de Tratamiento de Abuso de Sustancias / Trastornos Relacionados con Sustancias / Servicio de Urgencia en Hospital / Accesibilidad a los Servicios de Salud Tipo de estudio: Prognostic_studies Aspecto: Determinantes_sociais_saude Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: J Behav Health Serv Res Asunto de la revista: CIENCIAS DO COMPORTAMENTO / PESQUISA EM SERVICOS DE SAUDE / SERVICOS DE SAUDE Año: 2002 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención Primaria de Salud / Desarrollo de Personal / Centros de Tratamiento de Abuso de Sustancias / Trastornos Relacionados con Sustancias / Servicio de Urgencia en Hospital / Accesibilidad a los Servicios de Salud Tipo de estudio: Prognostic_studies Aspecto: Determinantes_sociais_saude Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: J Behav Health Serv Res Asunto de la revista: CIENCIAS DO COMPORTAMENTO / PESQUISA EM SERVICOS DE SAUDE / SERVICOS DE SAUDE Año: 2002 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos