Emergency physicians’ attitudes and perceived barriers to the implementation of take-home naloxone programs in Canadian emergency departments
| Autor: | Lauren Lacroix, Lisa Thurgur, Ian G. Stiell, Jeffrey J. Perry, Aaron Orkin |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Canada Health Knowledge Attitudes Practice medicine.medical_specialty Attitude of Health Personnel Narcotic Antagonists 03 medical and health sciences 0302 clinical medicine Patient Education as Topic Nursing Physicians Surveys and Questionnaires Naloxone medicine Humans 030212 general & internal medicine Medical prescription Face validity business.industry Public health 030208 emergency & critical care medicine Opioid overdose Emergency department Opioid-Related Disorders medicine.disease Respondent Emergency Medicine Female Emergency Service Hospital business medicine.drug Patient education |
| Zdroj: | CJEM. 20:46-52 |
| ISSN: | 1481-8043 1481-8035 |
| Popis: | ObjectivesRates of opioid-related deaths have reached the level of national public health crisis in Canada. Community-based opioid overdose education and naloxone distribution (OEND) programs distribute naloxone to people at risk, and the emergency department (ED) may be an underutilized setting to deliver naloxone to these people. The goal of this study was to identify Canadian emergency physicians’ attitudes and perceived barriers to the implementation of take-home naloxone programs.MethodsThis was an anonymous Web-based survey of members of the Canadian Association of Emergency Physicians. Survey questions were developed by the research team and piloted for face validity and clarity. Two reminder emails were sent to non-responders at 2-week intervals. Respondent demographics were collected, and Likert scales were used to assess attitudes and barriers to the prescription of naloxone from the ED.ResultsA total of 459 physicians responded. The majority of respondents were male (64%), worked in urban tertiary centres (58.3%), and lived in Ontario (50.6%). Overall, attitudes to OEND were strongly positive; 86% identified a willingness to prescribe naloxone from the ED. Perceived barriers included support for patient education (57%), access to follow-up (44%), and inadequate time (37%). In addition to people at risk of overdose, 77% of respondents identified that friends and family members may also benefit.ConclusionsCanadian emergency physicians are willing to distribute take-home naloxone, but thoughtful systems are required to facilitate opioid OEND implementation. These data will inform the development of these programs, with emphasis on multidisciplinary training and education. |
| Databáze: | OpenAIRE |
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