Abstract

In North America, the recent increase in opioid-related deaths has highlighted a need to consult people with Opioid Use Disorder (OUD) on how to improve treatments, namely in terms of service access and patient retention. The aim of this study is to explore experiential perspectives on how to improve accessibility and retention in OUD treatments. Four focus groups were conducted with a total of 27 people with former or current OUD, from treatment programs and community organizations located in Montreal, Canada. A thematic analysis was carried out based on Paillé and Mucchielli’sprocedure, and yielded the following main themes: outreach, flexibility, treatment opportunities, quality of life, comprehensive services, relationship with caregivers and autonomy. These findings provide interesting avenues for policy makers, program administrators and healthcare workers, and may help improving treatment access and retention.

摘要

在北美，最近阿片类药物相关死亡人数的增加突显了需要咨询阿片类药物使用障碍 (OUD) 患者如何改进治疗，即在服务可及性和患者保留方面。本研究的目的是探索如何改善 OUD 治疗的可及性和保留的经验观点。共有 27 名来自加拿大蒙特利尔的治疗计划和社区组织的前或当前 OUD 患者参加了四个焦点小组。基于 Paillé 和 Mucchielli 的程序进行了专题分析，得出以下主要主题：外展、灵活性、治疗机会、生活质量、综合服务、与照顾者的关系和自主权。这些发现为政策制定者提供了有趣的途径，