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Evaluating an addiction medicine unit in Sudbury, Ontario Canada: a mixed-methods study protocol.

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اقرأ على الانترنت اقرأ أكثر حفظ في قائمتي
  • معلومة اضافية
    • المصدر:
      Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE
    • بيانات النشر:
      Original Publication: London : BioMed Central, [2001-
    • الموضوع:
      Addiction Medicine* ; Substance-Related Disorders*/epidemiology ; Substance-Related Disorders*/therapy ; Behavior, Addictive*; Humans ; Ontario/epidemiology ; Data Collection ; Observational Studies as Topic
    • نبذة مختصرة :
      Background: In response to the escalating global prevalence of substance use and the specific challenges faced in Northern Ontario, Canada, an Addiction Medicine Unit (AMU) was established at Health Sciences North (HSN) in Sudbury. This protocol outlines the approach for a comprehensive evaluation of the AMU, with the aim of assessing its impact on patient outcomes, healthcare utilization, and staff perspectives.
      Methods: We conducted a parallel mixed-method study that encompassed the analysis of single-center-level administrative health data and primary data collection, including a longitudinal observational study (target n = 1,200), pre- and post-admission quantitative interviews (target n = 100), and qualitative interviews (target n = 25 patients and n = 15 staff). We implemented a participatory approach to this evaluation, collaborating with individuals who possess lived or living expertise in drug use, frontline staff, and decision-makers across the hospital. Data analysis methods encompass a range of statistical techniques, including logistic regression models, Cox proportional hazards models, Kaplan-Meier curves, Generalized Estimating Equations (GEE), and thematic qualitative analysis, ensuring a robust evaluation of patient outcomes and healthcare utilization.
      Discussion: This protocol serves as the foundation for a comprehensive assessment designed to provide insights into the AMU's effectiveness in addressing substance use-related challenges, reducing healthcare disparities, and improving patient outcomes. All study procedures have been meticulously designed to align with the ethical principles outlined in the Tri-Council Policy Statement: Ethical Conduct for Research Involving Humans. The findings will be disseminated progressively through committees and working groups established for this research, and subsequently published in peer-reviewed journals. Anticipated outcomes include informing evidence-based healthcare decision-making and driving improvements in addiction treatment practices within healthcare settings.
      (© 2023. The Author(s).)
    • References:
      J Addict Med. 2020 Sep/Oct;14(5):415-422. (PMID: 31868830)
      Subst Abuse Treat Prev Policy. 2021 Sep 20;16(1):70. (PMID: 34544478)
      Am J Med. 2016 May;129(5):481-5. (PMID: 26597670)
      Rural Remote Health. 2012;12:2193. (PMID: 23094953)
      J Subst Abuse Treat. 2016 Oct;69:64-71. (PMID: 27568512)
      Drug Alcohol Depend. 2022 Jun 1;235:109440. (PMID: 35461084)
      J Gen Intern Med. 2006 Jun;21(6):570-6. (PMID: 16808738)
      Med Clin North Am. 2018 Jul;102(4):587-601. (PMID: 29933817)
      J Gen Intern Med. 2015 Mar;30(3):365-70. (PMID: 25092008)
      Harm Reduct J. 2024 Mar 28;21(1):71. (PMID: 38549074)
      S D Med. 2018 May;71(5):202-212. (PMID: 29999606)
      Drug Alcohol Depend. 2019 Feb 1;195:66-73. (PMID: 30592998)
      J Gen Intern Med. 2010 Aug;25(8):803-8. (PMID: 20237960)
      Addiction. 1998 Dec;93(12):1857-67. (PMID: 9926574)
      BMC Public Health. 2012 Jun 18;12:443. (PMID: 22713674)
      J Gen Intern Med. 2019 Dec;34(12):2796-2803. (PMID: 31410816)
      Arch Intern Med. 2004 Apr 12;164(7):749-56. (PMID: 15078644)
      J Subst Abuse Treat. 1999 Jul-Sep;17(1-2):149-58. (PMID: 10435263)
      JAMA Intern Med. 2014 Aug;174(8):1369-76. (PMID: 25090173)
      Lancet. 2013 Nov 9;382(9904):1564-74. (PMID: 23993281)
    • Grant Information:
      A-22-18 Northern Ontario Academic Medicine Association; A-22-18 Northern Ontario Academic Medicine Association; A-22-18 Northern Ontario Academic Medicine Association
    • Contributed Indexing:
      Keywords: Addiction medicine; Inpatient; Mixed methods study; Program evaluation; Substance use disorders
    • الموضوع:
      Date Created: 20231207 Date Completed: 20231211 Latest Revision: 20241015
    • الموضوع:
      20241015
    • الرقم المعرف:
      PMC10701989
    • الرقم المعرف:
      10.1186/s12913-023-10313-0
    • الرقم المعرف:
      38057899