Arsen Davitadze, Peter Meylakhs, Tatiana Rodionova, Aleksey Lakhov
{"title":"俄罗斯通过在线平台为吸毒者实施基于减低伤害的医疗援助：定性研究","authors":"Arsen Davitadze, Peter Meylakhs, Tatiana Rodionova, Aleksey Lakhov","doi":"10.1177/00220426241234819","DOIUrl":null,"url":null,"abstract":"Although people who use drugs (PWUD) in Russia could benefit from harm reduction services, these services do not always reach them. Harm reduction organizations are adapting to these conditions with mHealth initiatives. The newest one involves a doctor providing medical assistance anonymously and free-of-charge to PWUD in an instant messenger (Telegram). Thematic analysis was applied to 161 anonymized text conversations between PWUD and the doctor to explore the needs of PWUD and the services provided to them. Theme 1 included needs for online only medical assistance: PWUD asked for help with drug-related health problems and consultations on drug consumption. Theme 2 consisted of needs for online and offline medical assistance: PWUD wanted to get help with more severe health problems and treat their substance misuse. The doctor helped most PWUD online by instructing them how to manage their problems by themselves, while he helped connect others to ambulances and hospitals.","PeriodicalId":15626,"journal":{"name":"Journal of Drug Issues","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Implementing Harm Reduction-Based Medical Assistance via an Online Platform for People Who Use Drugs in Russia: A Qualitative Study\",\"authors\":\"Arsen Davitadze, Peter Meylakhs, Tatiana Rodionova, Aleksey Lakhov\",\"doi\":\"10.1177/00220426241234819\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Although people who use drugs (PWUD) in Russia could benefit from harm reduction services, these services do not always reach them. Harm reduction organizations are adapting to these conditions with mHealth initiatives. The newest one involves a doctor providing medical assistance anonymously and free-of-charge to PWUD in an instant messenger (Telegram). Thematic analysis was applied to 161 anonymized text conversations between PWUD and the doctor to explore the needs of PWUD and the services provided to them. Theme 1 included needs for online only medical assistance: PWUD asked for help with drug-related health problems and consultations on drug consumption. Theme 2 consisted of needs for online and offline medical assistance: PWUD wanted to get help with more severe health problems and treat their substance misuse. The doctor helped most PWUD online by instructing them how to manage their problems by themselves, while he helped connect others to ambulances and hospitals.\",\"PeriodicalId\":15626,\"journal\":{\"name\":\"Journal of Drug Issues\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2024-02-21\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Drug Issues\",\"FirstCategoryId\":\"90\",\"ListUrlMain\":\"https://doi.org/10.1177/00220426241234819\",\"RegionNum\":4,\"RegionCategory\":\"社会学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"SUBSTANCE ABUSE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Drug Issues","FirstCategoryId":"90","ListUrlMain":"https://doi.org/10.1177/00220426241234819","RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"SUBSTANCE ABUSE","Score":null,"Total":0}
Implementing Harm Reduction-Based Medical Assistance via an Online Platform for People Who Use Drugs in Russia: A Qualitative Study
Although people who use drugs (PWUD) in Russia could benefit from harm reduction services, these services do not always reach them. Harm reduction organizations are adapting to these conditions with mHealth initiatives. The newest one involves a doctor providing medical assistance anonymously and free-of-charge to PWUD in an instant messenger (Telegram). Thematic analysis was applied to 161 anonymized text conversations between PWUD and the doctor to explore the needs of PWUD and the services provided to them. Theme 1 included needs for online only medical assistance: PWUD asked for help with drug-related health problems and consultations on drug consumption. Theme 2 consisted of needs for online and offline medical assistance: PWUD wanted to get help with more severe health problems and treat their substance misuse. The doctor helped most PWUD online by instructing them how to manage their problems by themselves, while he helped connect others to ambulances and hospitals.
期刊介绍：
The Journal of Drug Issues (JDI) was incorporated as a nonprofit entity in the State of Florida in 1971. In 1996, JDI was transferred to the Florida State University College of Criminology and Criminal Justice, and the Richard L. Rachin Endowment was established to support its continued publication. Since its inception, JDI has been dedicated to providing a professional and scholarly forum centered on the national and international problems associated with drugs, especially illicit drugs. It is a refereed publication with international contributors and subscribers. As a leader in its field, JDI is an instrument widely used by research scholars, public policy analysts, and those involved in the day-to-day struggle against the problem of drug abuse.
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