Implementing Harm Reduction-Based Medical Assistance via an Online Platform for People Who Use Drugs in Russia: A Qualitative Study

IF 1.2 4区社会学 Q4 SUBSTANCE ABUSE

Journal of Drug Issues Pub Date : 2024-02-21 DOI:10.1177/00220426241234819

Arsen Davitadze, Peter Meylakhs, Tatiana Rodionova, Aleksey Lakhov

引用次数: 0

Abstract

Although people who use drugs (PWUD) in Russia could benefit from harm reduction services, these services do not always reach them. Harm reduction organizations are adapting to these conditions with mHealth initiatives. The newest one involves a doctor providing medical assistance anonymously and free-of-charge to PWUD in an instant messenger (Telegram). Thematic analysis was applied to 161 anonymized text conversations between PWUD and the doctor to explore the needs of PWUD and the services provided to them. Theme 1 included needs for online only medical assistance: PWUD asked for help with drug-related health problems and consultations on drug consumption. Theme 2 consisted of needs for online and offline medical assistance: PWUD wanted to get help with more severe health problems and treat their substance misuse. The doctor helped most PWUD online by instructing them how to manage their problems by themselves, while he helped connect others to ambulances and hospitals.

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俄罗斯通过在线平台为吸毒者实施基于减低伤害的医疗援助：定性研究

尽管俄罗斯的吸毒者（PWUD）可以从减低危害服务中受益，但这些服务并不总能惠及他们。减低危害组织正在通过移动医疗措施来适应这些情况。最新的一项举措涉及一名医生通过即时通讯工具（Telegram）向吸毒者提供匿名、免费的医疗援助。对 PWUD 和医生之间的 161 条匿名文本对话进行了主题分析，以探讨 PWUD 的需求和为他们提供的服务。主题 1 包括对在线医疗援助的需求：残疾人要求帮助他们解决与毒品有关的健康问题，并就吸毒问题进行咨询。主题 2 包括在线和离线医疗援助需求：残疾人希望获得更严重健康问题的帮助和药物滥用的治疗。医生在线帮助大多数残疾人，指导他们如何自己处理问题，同时帮助其他人联系救护车和医院。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Drug Issues SUBSTANCE ABUSE-

CiteScore

3.00

自引率

11.80%

发文量

期刊介绍： The Journal of Drug Issues (JDI) was incorporated as a nonprofit entity in the State of Florida in 1971. In 1996, JDI was transferred to the Florida State University College of Criminology and Criminal Justice, and the Richard L. Rachin Endowment was established to support its continued publication. Since its inception, JDI has been dedicated to providing a professional and scholarly forum centered on the national and international problems associated with drugs, especially illicit drugs. It is a refereed publication with international contributors and subscribers. As a leader in its field, JDI is an instrument widely used by research scholars, public policy analysts, and those involved in the day-to-day struggle against the problem of drug abuse.