View in EDS HTML Full Text PDF Full Text

Integrated opioid substitution therapy and HIV care: a qualitative systematic review and synthesis of client and provider experiences.

Saved in:
Bibliographic Details
Title: Integrated opioid substitution therapy and HIV care: a qualitative systematic review and synthesis of client and provider experiences.
Authors: Guise, Andy (AUTHOR), Seguin, Maureen (AUTHOR), Mburu, Gitau (AUTHOR), McLean, Susie (AUTHOR), Grenfell, Pippa (AUTHOR), Islam, Zahed (AUTHOR), Filippovych, Sergii (AUTHOR), Assan, Happy (AUTHOR), Low, Andrea (AUTHOR), Vickerman, Peter (AUTHOR), Rhodes, Tim (AUTHOR)
Source: AIDS Care. Sep2017, Vol. 29 Issue 9, p1119-1128. 10p.
Subjects: Attitude (Psychology), CINAHL database, Health services accessibility, HIV infections, Medical information storage & retrieval systems, Integrated health care delivery, Medical personnel, Patient-professional relations, MEDLINE, Social stigma, Substance abuse treatment, Systematic reviews, Disclosure, Treatment programs, Patient-centered care, Patients' attitudes
Abstract: People who use drugs in many contexts have limited access to opioid substitution therapy and HIV care. Service integration is one strategy identified to support increased access. We reviewed and synthesized literature exploring client and provider experiences of integrated opioid substitution therapy and HIV care to identify acceptable approaches to care delivery. We systematically reviewed qualitative literature. We searched nine bibliographic databases, supplemented by manual searches of reference lists of articles from the database search, relevant journals, conferences, key organizations and consultation with experts. Thematic synthesis was used to develop descriptive themes in client and provider experiences. The search yielded 11 articles for inclusion, along with 8 expert and policy reports. We identify five descriptive themes: the convenience and comprehensive nature of co-located care, contrasting care philosophies and their role in shaping integration, the limits to disclosure and communication between clients and providers, opioid substitution therapy enabling HIV care access and engagement, and health system challenges to delivering integrated services. The discussion explores how integrated opioid substitution therapy and HIV care needs to adapt to specific social conditions, rather than following universal approaches. We identify priorities for future research. Acceptable integrated opioid substitution therapy and HIV care for people who use drugs and providers is most likely through co-located care and relies upon attention to stigma, supportive relationships and client centred cultures of delivery. Further research is needed to understand experiences of integrated care, particularly delivery in low and middle income settings and models of care focused on community and non-clinic based delivery. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 124091007
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Integrated opioid substitution therapy and HIV care: a qualitative systematic review and synthesis of client and provider experiences.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Guise%2C+Andy%22">Guise, Andy</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Seguin%2C+Maureen%22">Seguin, Maureen</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mburu%2C+Gitau%22">Mburu, Gitau</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22McLean%2C+Susie%22">McLean, Susie</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Grenfell%2C+Pippa%22">Grenfell, Pippa</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Islam%2C+Zahed%22">Islam, Zahed</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Filippovych%2C+Sergii%22">Filippovych, Sergii</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Assan%2C+Happy%22">Assan, Happy</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Low%2C+Andrea%22">Low, Andrea</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Vickerman%2C+Peter%22">Vickerman, Peter</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rhodes%2C+Tim%22">Rhodes, Tim</searchLink> (AUTHOR)
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. Sep2017, Vol. 29 Issue 9, p1119-1128. 10p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Attitude+%28Psychology%29%22">Attitude (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22CINAHL+database%22">CINAHL database</searchLink><br /><searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br /><searchLink fieldCode="DE" term="%22HIV+infections%22">HIV infections</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+information+storage+%26+retrieval+systems%22">Medical information storage & retrieval systems</searchLink><br /><searchLink fieldCode="DE" term="%22Integrated+health+care+delivery%22">Integrated health care delivery</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+personnel%22">Medical personnel</searchLink><br /><searchLink fieldCode="DE" term="%22Patient-professional+relations%22">Patient-professional relations</searchLink><br /><searchLink fieldCode="DE" term="%22MEDLINE%22">MEDLINE</searchLink><br /><searchLink fieldCode="DE" term="%22Social+stigma%22">Social stigma</searchLink><br /><searchLink fieldCode="DE" term="%22Substance+abuse+treatment%22">Substance abuse treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Systematic+reviews%22">Systematic reviews</searchLink><br /><searchLink fieldCode="DE" term="%22Disclosure%22">Disclosure</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+programs%22">Treatment programs</searchLink><br /><searchLink fieldCode="DE" term="%22Patient-centered+care%22">Patient-centered care</searchLink><br /><searchLink fieldCode="DE" term="%22Patients'+attitudes%22">Patients' attitudes</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: People who use drugs in many contexts have limited access to opioid substitution therapy and HIV care. Service integration is one strategy identified to support increased access. We reviewed and synthesized literature exploring client and provider experiences of integrated opioid substitution therapy and HIV care to identify acceptable approaches to care delivery. We systematically reviewed qualitative literature. We searched nine bibliographic databases, supplemented by manual searches of reference lists of articles from the database search, relevant journals, conferences, key organizations and consultation with experts. Thematic synthesis was used to develop descriptive themes in client and provider experiences. The search yielded 11 articles for inclusion, along with 8 expert and policy reports. We identify five descriptive themes: the convenience and comprehensive nature of co-located care, contrasting care philosophies and their role in shaping integration, the limits to disclosure and communication between clients and providers, opioid substitution therapy enabling HIV care access and engagement, and health system challenges to delivering integrated services. The discussion explores how integrated opioid substitution therapy and HIV care needs to adapt to specific social conditions, rather than following universal approaches. We identify priorities for future research. Acceptable integrated opioid substitution therapy and HIV care for people who use drugs and providers is most likely through co-located care and relies upon attention to stigma, supportive relationships and client centred cultures of delivery. Further research is needed to understand experiences of integrated care, particularly delivery in low and middle income settings and models of care focused on community and non-clinic based delivery. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=124091007
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/09540121.2017.1300634
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 10
        StartPage: 1119
    Subjects:
      – SubjectFull: Attitude (Psychology)
        Type: general
      – SubjectFull: CINAHL database
        Type: general
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: HIV infections
        Type: general
      – SubjectFull: Medical information storage & retrieval systems
        Type: general
      – SubjectFull: Integrated health care delivery
        Type: general
      – SubjectFull: Medical personnel
        Type: general
      – SubjectFull: Patient-professional relations
        Type: general
      – SubjectFull: MEDLINE
        Type: general
      – SubjectFull: Social stigma
        Type: general
      – SubjectFull: Substance abuse treatment
        Type: general
      – SubjectFull: Systematic reviews
        Type: general
      – SubjectFull: Disclosure
        Type: general
      – SubjectFull: Treatment programs
        Type: general
      – SubjectFull: Patient-centered care
        Type: general
      – SubjectFull: Patients' attitudes
        Type: general
    Titles:
      – TitleFull: Integrated opioid substitution therapy and HIV care: a qualitative systematic review and synthesis of client and provider experiences.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Guise, Andy
      – PersonEntity:
          Name:
            NameFull: Seguin, Maureen
      – PersonEntity:
          Name:
            NameFull: Mburu, Gitau
      – PersonEntity:
          Name:
            NameFull: McLean, Susie
      – PersonEntity:
          Name:
            NameFull: Grenfell, Pippa
      – PersonEntity:
          Name:
            NameFull: Islam, Zahed
      – PersonEntity:
          Name:
            NameFull: Filippovych, Sergii
      – PersonEntity:
          Name:
            NameFull: Assan, Happy
      – PersonEntity:
          Name:
            NameFull: Low, Andrea
      – PersonEntity:
          Name:
            NameFull: Vickerman, Peter
      – PersonEntity:
          Name:
            NameFull: Rhodes, Tim
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 09
              Text: Sep2017
              Type: published
              Y: 2017
          Identifiers:
            – Type: issn-print
              Value: 09540121
          Numbering:
            – Type: volume
              Value: 29
            – Type: issue
              Value: 9
          Titles:
            – TitleFull: AIDS Care
              Type: main
ResultId 1