The accessibility, acceptability, health impact and cost implications of primary healthcare outlets that target injecting drug users: a narrative synthesis of literature.

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dc.contributor.author Islam, MM
dc.contributor.author Topp, L
dc.contributor.author Day, CA
dc.contributor.author Dawson, A
dc.contributor.author Conigrave, KM
dc.date.accessioned 2012-10-12T03:34:22Z
dc.date.issued 2012-03
dc.identifier.citation The International journal on drug policy, 2012, 23 (2), pp. 94 - 102
dc.identifier.issn 0955-3959
dc.identifier.other C1 en_US
dc.identifier.uri http://hdl.handle.net/10453/18558
dc.description.abstract BACKGROUND: Injecting drug users (IDUs) are at increased risk of health problems ranging from injecting-related injuries to blood borne viral infections. Access to primary healthcare (PHC) is often limited for this marginalised group. Many seek care at emergency departments and some require hospital admission due to late presentation. The costs to both the individual and the health system are such that policymakers in some settings have implemented IDU-targeted PHC centres, with a number of models employed. However, there is insufficient evidence on the effectiveness of these centres to inform health service planning. A systematic review examining such interventions is not possible due to the heterogeneous nature of study designs. Nevertheless, an integrative literature review of IDU-targeted PHC may provide useful insights into the range of operational models and strategies to enhance the accessibility and acceptability of these services to the target population. METHODS: Available literature describing the impact of IDU-targeted PHC on health outcomes, cost implications and operational challenges is reviewed. A narrative synthesis was undertaken of material sourced from relevant journal publications, grey literature and policy documents. RESULTS: Several models have proven accessible and acceptable forms of PHC to IDUs, improving the overall healthcare utilisation and health status of this population with consequent savings to the health system due to a reduction in visits to emergency departments and tertiary hospitals. CONCLUSIONS: Although such findings are promising, there remains a dearth of rigorous evaluations of these targeted PHC, with the public health impact of such outlets yet to be systematically documented.
dc.format Print-Electronic
dc.language eng
dc.relation.isbasedon 10.1016/j.drugpo.2011.08.005
dc.subject Humans, Substance Abuse, Intravenous, Harm Reduction, Health Care Costs, Drug Users, Patient Acceptance of Health Care, Primary Health Care, Delivery of Health Care, Health Services Accessibility, Health Policy, Delivery of Health Care, Drug Users, Harm Reduction, Health Care Costs, Health Policy, Health Services Accessibility, Humans, Patient Acceptance of Health Care, Primary Health Care, Substance Abuse, Intravenous, Primary healthcare, Injecting drug users, Harm reduction, Narrative synthesis, Substance Abuse
dc.subject Humans; Substance Abuse, Intravenous; Harm Reduction; Health Care Costs; Drug Users; Patient Acceptance of Health Care; Primary Health Care; Delivery of Health Care; Health Services Accessibility; Health Policy; Delivery of Health Care; Drug Users; Harm Reduction; Health Care Costs; Health Policy; Health Services Accessibility; Humans; Patient Acceptance of Health Care; Primary Health Care; Substance Abuse, Intravenous; Primary healthcare; Injecting drug users; Harm reduction; Narrative synthesis; Substance Abuse
dc.title The accessibility, acceptability, health impact and cost implications of primary healthcare outlets that target injecting drug users: a narrative synthesis of literature.
dc.type Journal Article
dc.parent The International journal on drug policy
dc.journal.volume 2
dc.journal.volume 23
dc.journal.number 2 en_US
dc.publocation London en_US
dc.identifier.startpage 94 en_US
dc.identifier.endpage 102 en_US
dc.cauo.name FOH.Faculty of Health en_US
dc.conference Verified OK en_US
dc.for 1199 Other Medical and Health Sciences
dc.personcode 0000085668 en_US
dc.personcode 0000085669 en_US
dc.personcode 0000062350 en_US
dc.personcode 111637 en_US
dc.personcode 0000085671 en_US
dc.percentage 100 en_US
dc.classification.name Other Medical and Health Sciences en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.location.activity en_US
dc.description.keywords Primary healthcare; Injecting drug users; Harm reduction; Narrative synthesis en_US
dc.description.keywords Humans
dc.description.keywords Substance Abuse, Intravenous
dc.description.keywords Harm Reduction
dc.description.keywords Health Policy
dc.description.keywords Health Care Costs
dc.description.keywords Primary Health Care
dc.description.keywords Delivery of Health Care
dc.description.keywords Health Services Accessibility
dc.description.keywords Patient Acceptance of Health Care
dc.description.keywords Drug Users
dc.description.keywords Humans
dc.description.keywords Substance Abuse, Intravenous
dc.description.keywords Harm Reduction
dc.description.keywords Health Care Costs
dc.description.keywords Drug Users
dc.description.keywords Patient Acceptance of Health Care
dc.description.keywords Primary Health Care
dc.description.keywords Delivery of Health Care
dc.description.keywords Health Services Accessibility
dc.description.keywords Health Policy
dc.staffid en_US
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Health
pubs.organisational-group /University of Technology Sydney/Strength - Health Services and Practice Research


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