芬兰药品消费室政策的复杂性与进展

IF 2.3 Q3 SUBSTANCE ABUSE Contemporary Drug Problems Pub Date : 2021-03-27 DOI:10.1177/00914509211002542
A. Unlu, Fatih Demiroz, T. Tammi, P. Hakkarainen
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引用次数: 8

摘要

已经建立了药物消费室(DCR),以接触吸毒的高危人群并减少与药物相关的伤害。尽管有效,但建立这些机构需要强有力的宣传和努力,因为在许多国家,道德观点往往凌驾于健康结果之上。DCR通常是地方对中央政府政策不足的回应。同样,赫尔辛基市在2018年的倡议开启了芬兰中央政府、社会和地方行为者之间的讨论。这将是芬兰的第一次DCR,这使得政策进程和倡议的进展值得分析。本文在复杂性理论的框架内分析了主体的识别、相互作用的结构、环境挑战和政策机遇。我们的研究结果表明,该倡议面临的政策障碍主要源于道德框架中对DCR的概念化,导致政治和专业行为者对DCR采取立场的时间延长。
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The Complexity of Drug Consumption Room Policy and Progress in Finland
Drug consumption rooms (DCRs) have been established to reach high-risk people who use drugs (PWUDs) and reduce drug-associated harm. Despite effectiveness, their establishment requires strong advocacy and efforts since moral perspectives tend to prevail over health outcomes in many countries. DCRs have generally emerged as a local response to inadequate central government policy. Likewise, the initiative of the Municipality of Helsinki in 2018 opened up a discussion between central government, society, and local actors in Finland. This would be the first DCR in Finland, which makes the policy process and the progress of the initiative interesting for analysis. In this article, the identification of agents, structures of interactions, environmental challenges, and policy opportunities are analyzed within the framework of complexity theory. Our results show that the initiative faces policy barriers that have mainly arisen from the conceptualization of DCRs in moral frameworks that result in the prolongation of political and professional actors to take a position on DCRs.
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来源期刊
Contemporary Drug Problems
Contemporary Drug Problems Social Sciences-Law
CiteScore
3.30
自引率
0.00%
发文量
23
期刊介绍: Contemporary Drug Problems is a scholarly journal that publishes peer-reviewed social science research on alcohol and other psychoactive drugs, licit and illicit. The journal’s orientation is multidisciplinary and international; it is open to any research paper that contributes to social, cultural, historical or epidemiological knowledge and theory concerning drug use and related problems. While Contemporary Drug Problems publishes all types of social science research on alcohol and other drugs, it recognizes that innovative or challenging research can sometimes struggle to find a suitable outlet. The journal therefore particularly welcomes original studies for which publication options are limited, including historical research, qualitative studies, and policy and legal analyses. In terms of readership, Contemporary Drug Problems serves a burgeoning constituency of social researchers as well as policy makers and practitioners working in health, welfare, social services, public policy, criminal justice and law enforcement.
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