title: Accessing care for injection-related infections through a medically supervised injecting facility: a qualitative study.
abstract: Injection drug users (IDU) experience complex barriers to accessing primary medical care which may result in over reliance on emergency health services. Supervised injecting facilities (SIF) aim to address HIV and overdose risks, as well as improve access to primary medical care among IDU. This study sought to investigate IDU perspectives regarding the impact of SIF on access to care and treatment of injection-related infections. Semi-structured qualitative interviews were conducted with 50 individuals recruited from a cohort of SIF users known as the Scientific Evaluation of Supervised Injecting (SEOSI). Audio-recorded interviews were transcribed verbatim and a thematic analysis was conducted. IDU narratives indicate the availability of on-site nursing attention at the SIF facilitated uptake of health services. IDU reported that the facility provided assessment and care of injection-related infections, as well as enhanced access to off-site medical services. The presence of professional nursing personnel within a sanctioned drug consumption setting serves to address social and structural barriers that often impede IDU access to health care. This study emphasizes that the facility enables contact with the healthcare system and thereby helps to facilitate the management of injection-related infections.
authors.affiliation: British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, University of British Columbia, Canada.
authors.forename: Will
authors.initials: W
authors.lastname: Small
authors.forename: Evan
authors.initials: E
authors.lastname: Wood
authors.forename: Elisa
authors.initials: E
authors.lastname: Lloyd-Smith
authors.forename: Mark
authors.initials: M
authors.lastname: Tyndall
authors.forename: Thomas
authors.initials: T
authors.lastname: Kerr
mesh_terms: D000038:Abscess / Q000451:nursing*; D000328:Adult; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D018671:Needle-Exchange Programs / Q000706:statistics & numerical data; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D012017:Referral and Consultation / Q000706:statistics & numerical data; D015819:Substance Abuse, Intravenous / Q000150:complications* / Q000453:epidemiology / Q000451:nursing; D014600:Utilization Review