Caroline King1,2, Taylor Vega2, Dana Button2, Christina Nicolaidis1,3, Jessica Gregg1,4, Honora Englander1. 1. Department of Medicine, Oregon Health & Science University, Portland, OR, United States of America. 2. School of Medicine, Oregon Health & Science University, Portland, OR, United States of America. 3. School of Social Work, Portland State University, Portland, OR, United States of America. 4. De Paul Treatment Centers, Portland, OR, United States of America.
Abstract
BACKGROUND: The SARS-COV-2 pandemic rapidly shifted dynamics around hospitalization for many communities. This study aimed to evaluate how the pandemic altered the experience of healthcare, acute illness, and care transitions among hospitalized patients with substance use disorder (SUD). METHODS: We performed a qualitative study at an academic medical center in Portland, Oregon, in Spring 2020. We conducted semi-structured interviews, and conducted a thematic analysis, using an inductive approach, at a semantic level. RESULTS: We enrolled 27 participants, and identified four main themes: 1) shuttered community resources threatened patients' basic survival adaptations; 2) changes in outpatient care increased reliance on hospitals as safety nets; 3) hospital policy changes made staying in the hospital harder than usual; and, 4) care transitions out of the hospital were highly uncertain. DISCUSSION: Hospitalized adults with SUD were further marginalized during the SARS-COV-2 pandemic. Systems must address the needs of marginalized patients in future disruptive events.
BACKGROUND: The SARS-COV-2 pandemic rapidly shifted dynamics around hospitalization for many communities. This study aimed to evaluate how the pandemic altered the experience of healthcare, acute illness, and care transitions among hospitalized patients with substance use disorder (SUD). METHODS: We performed a qualitative study at an academic medical center in Portland, Oregon, in Spring 2020. We conducted semi-structured interviews, and conducted a thematic analysis, using an inductive approach, at a semantic level. RESULTS: We enrolled 27 participants, and identified four main themes: 1) shuttered community resources threatened patients' basic survival adaptations; 2) changes in outpatient care increased reliance on hospitals as safety nets; 3) hospital policy changes made staying in the hospital harder than usual; and, 4) care transitions out of the hospital were highly uncertain. DISCUSSION: Hospitalized adults with SUD were further marginalized during the SARS-COV-2 pandemic. Systems must address the needs of marginalized patients in future disruptive events.
Authors: Enrique R Pouget; Milagros Sandoval; Georgios K Nikolopoulos; Samuel R Friedman Journal: Subst Use Misuse Date: 2015-03-16 Impact factor: 2.164
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Authors: Caroline A King; Ryan Cook; P Todd Korthuis; Dennis McCarty; Cynthia D Morris; Honora Englander Journal: J Addict Med Date: 2022-02-08 Impact factor: 4.647