Hospital-Based Stigma Practices Towards Individuals With Opioid Use Disorder: A Qualitative Study in Austin, Texas
Rattachement africain : us. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Background: Individuals with opioid use disorder (OUD) commonly face stigma when receiving healthcare. Although experienced stigma of patients with OUD in hospital settings is linked to worse treatment outcomes, less is known about the stigmatizing care practices of hospital-based providers that result in experienced stigma. Objective: This study aimed to explore hospital-based stigma experiences and positive care experiences of people with OUD to identify stigmatizing and nonstigmatizing care practices to inform hospital-based care. Design: This was a qualitative study based on semi-structured, in-person focus groups. Participants: Participants were people who self-identified as being in recovery from opioid use disorder recruited through a community recovery organization in Austin, TX. Approach: Focus groups followed a semi-structured interview guide encouraging discussion of stigmatizing healthcare experiences. We used applied thematic analysis in a systematic, inductive approach to categorize themes around hospital-based care experiences. Key Results: Among participants (n = 18), stigmatizing experiences reflected the following hospital-based care practice themes: using non-person-first language, ignoring pain, labeling as "drug-seeking," and not valuing the lived expertise of patients. These practices resulted in fear/avoidance of care, distrust of the care team, and internalized stigma. On the other hand, using recovery-oriented language, being polite, and engaging in shared decision making resulted in open communication with providers and trust of the care team. Conclusions: Stigma experienced in hospital settings has significant consequences for patients with OUD. Hospital systems must implement policies that promote patient-centered practices and avoid stigmatizing practices to improve hospital-based care delivery for people with OUD.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Hospital-Based Stigma Practices Towards Individuals With Opioid Use Disorder: A Qualitative Study in Austin, Texas
- Date Crossref
- 01/12/2025
- Éditeur
- Elsevier BV
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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National Institute on Drug Abuse pays non établi dans la noticeStructure de recherche
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Johns Hopkins University Division of Hospital Medicine pays non établi dans la noticeUniversité ou école supérieure
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Johns Hopkins Bayview Medical Center pays non établi dans la noticeÉtablissement de santé
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University of California pays non établi dans la noticeUniversité ou école supérieure
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Neurobehavioral Systems pays non établi dans la noticeInstitution
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Sensory Processing Disorder Foundation pays non établi dans la noticeOrganisation à but non lucratif
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The University of Texas at Austin pays non établi dans la noticeUniversité ou école supérieure
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Organ Recovery Systems (United States) pays non établi dans la noticeEntreprise
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Yale University pays non établi dans la noticeUniversité ou école supérieure
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National Institute of Drug Abuse Intramural Research Program pays non établi dans la noticeStructure de recherche
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David Geffen School of Medicine Department of Psychiatry and Biobehavioral Sciences pays non établi dans la noticeUniversité ou école supérieure
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Center for Clinical Leadership and Excellence pays non établi dans la noticeÉtablissement de santé
National Institute on Drug Abuse, Division of Hospital Medicine — Johns Hopkins University et Johns Hopkins Bayview Medical Center, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.