Access to Healthcare and Harm Reduction Services During the COVID-19 Pandemic for People Who Use Drugs

被引：25

作者：

Stowe, M. J. ^{[1
]}

Calvey, Tanya ^{[2
]}

Scheibein, Florian ^{[3
]}

Arya, Sidharth ^{[4
]}

Saad, Noha Ahmed ^{[5
]}

Shirasaka, Tomohiro ^{[6
]}

Dannatt, Lisa ^{[7
]}

Ghosh, Abhishek ^{[8
,9
]}

Yee, Anne ^{[10
]}

Ratta-Apha, Woraphat ^{[11
]}

Vadivel, Ramyadarshni ^{[12
]}

Siste, Kristiana ^{[13
]}

Shah, Bigya ^{[14
]}

Ramalho, Rodrigo ^{[15
]}

Narasimha, Venkata Lakshmi ^{[16
]}

Delic, Mirjana ^{[17
]}

Peyron, Eric ^{[18
]}

Gumikiriza-Onoria, Joy Louise ^{[19
]}

Pant, Sagun Ballav ^{[20
]}

Boujraf, Said ^{[21
]}

Grandinetti, Paolo ^{[22
]}

Morgan, Nirvana ^{[23
]}

机构：

[1] Univ Pretoria, Dept Family Med, Sch Med, Fac Hlth Sci, Pretoria, South Africa

[2] Univ Witwatersrand, Fac Hlth Sci, Sch Anat Sci, Johannesburg, South Africa

[3] Waterford Inst Technol, Sch Hlth Sci, Waterford, Ireland

[4] Pt BDS Univ Hlth Sci, State Drug Dependence Treatment Ctr, Inst Mental Hlth, Rohtak, Haryana, India

[5] Ain Shams Univ, State Drug Dependence Treatment Ctr, Cairo, Egypt

[6] Teine Keijinkai Hosp, Dept Psychiat, Sapporo, Hokkaido, Japan

[7] Univ Cape Town, Dept Psychiat & Mental Hlth, Fac Hlth Sci, Rondebosch, South Africa

[8] Postgrad Inst Med Educ & Res, Drug Addict & Treatment Ctr, Chandigarh, India

[9] Postgrad Inst Med Educ & Res, Dept Psychiat, Chandigarh, India

[10] Univ Malaya, Fac Med, Univ Malaya Ctr Addict Sci UMCAS, Dept Psychol Med, Kuala Lumpur, Malaysia

[11] Mahidol Univ, Fac Med, Dept Psychiat, Siriraj Hosp, Salaya, Thailand

[12] Waikato Dist Hlth Board WDHB, Dept Mental Hlth & Addict, Hamilton, New Zealand

[13] Univ Indonesia, Fac Med, Dept Psychiat, Cipto Mangun Kusumo Hosp, Jakarta, Indonesia

[14] Patan Acad Hlth Sci, Patan, Nepal

[15] Univ Auckland, Dept Social & Community Hlth, Sch Populat Hlth, Auckland, New Zealand

[16] Natl Inst Mental Hlth & Neurosci NIMHANS, Ctr Addict Med, Dept Psychiat, Bengaluru, India

[17] Univ Psychiat Clin Ljubljana, Ctr Treatment Drug Addict, Ljubljana, Slovenia

[18] AddiPsy, Lyon, France

[19] Makerere Univ, Dept Psychiat, Sch Med, Kampala, Uganda

[20] Tribhuvan Univ, Dept Psychiat & Mental Hlth, Teaching Hosp, Kathmandu, Nepal

[21] Sidi Mohamed Ben Abdellah Univ Fez, Fac Med & Pharm, Fes, Morocco

[22] ASL 4 Teramo, Dept Terr Serv, Serv Addict SerD, Teramo, TE, Italy

[23] Univ Witwatersrand, Fac Hlth Sci, Johannesburg, South Africa

来源：

JOURNAL OF ADDICTION MEDICINE | 2020年 / 14卷 / 06期

关键词：

addiction services; coronavirus disease 2019; drug use; opioid agonist maintenance treatment; people who use drugs;

D O I：

10.1097/ADM.0000000000000753

中图分类号：

R194 [卫生标准、卫生检查、医药管理];

学科分类号：

摘要：

Globally, there are concerns about access to healthcare and harm reduction services for people who use drugs (PWUD) during the coronavirus disease 2019 (COVID-19) pandemic. Members from the Network of Early Career Professionals working in Addiction Medicine shared their experiences of providing treatment to PWUD during the COVID-19 pandemic. Drawing on these qualitative reports, we highlight the similarities and discrepancies in access to services for PWUD in 16 countries under COVID-10 restrictions. In most countries reported here, efforts have been made to ensure continued access to services, such as mobilising opioid agonist maintenance treatment and other essential medicines to patients. However, due to travel restrictions and limited telemedicine services, several Network of Early Career Professionals working in Addiction Medicine members from lower-resourced countries experienced challenges with providing care to their patients during periods of COVID-19 lock-down. The insights provided in this commentary illustrate how the COVID-19 lock-down restrictions have impacted access to services for PWUD.

引用

页码：E287 / E289

页数：3

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