TY - JOUR KW - Chronic Disease KW - Competency-Based Education KW - Emergency Service, Hospital/manpower/organization & administration/standards KW - Florida KW - Health Knowledge, Attitudes, Practice KW - Health Services Accessibility/standards KW - Humans KW - Intervention Studies KW - Organizational Case Studies KW - Organizational Innovation KW - Primary Health Care/manpower/organization & administration/standards KW - Staff Development/methods KW - Substance Abuse Treatment Centers/manpower/organization & administration/standards KW - Substance-Related Disorders/rehabilitation AU - H. V. McCoy AU - S. E. Messiah AU - W. Zhao A1 - AB - An intervention was designed to improve access to primary care for chronic drug users (CDUs) by enhancing health care providers' knowledge and skills. Using a case study method, three study sites were systematically selected for intervention implementation: a primary care clinic (PC), an emergency department (ED), and a drug treatment (DT) facility. Participants completed pre- and postintervention tests of knowledge, skills, and intentions to practice. Compared with pretest scores, participants had significantly higher posttest scores concerning knowledge of CDUs' health care needs. Postintervention evaluations indicated intentions to practice skills learned in the intervention. As hypothesized, the PC and ED subsequently instituted formal screening mechanisms to identify CDUs. This intervention revealed potential to build bridges between health care providers and CDUs. By overcoming provider resistance, primary care access can be realized for this and other disadvantaged populations. BT - The journal of behavioral health services & research C5 - Education & Workforce; Financing & Sustainability CP - 4 CY - United States IS - 4 JF - The journal of behavioral health services & research N2 - An intervention was designed to improve access to primary care for chronic drug users (CDUs) by enhancing health care providers' knowledge and skills. Using a case study method, three study sites were systematically selected for intervention implementation: a primary care clinic (PC), an emergency department (ED), and a drug treatment (DT) facility. Participants completed pre- and postintervention tests of knowledge, skills, and intentions to practice. Compared with pretest scores, participants had significantly higher posttest scores concerning knowledge of CDUs' health care needs. Postintervention evaluations indicated intentions to practice skills learned in the intervention. As hypothesized, the PC and ED subsequently instituted formal screening mechanisms to identify CDUs. This intervention revealed potential to build bridges between health care providers and CDUs. By overcoming provider resistance, primary care access can be realized for this and other disadvantaged populations. PP - United States PY - 2002 SN - 1094-3412 SP - 445 EP - 457 EP - T1 - Improving access to primary health care for chronic drug users: An innovative systemic intervention for providers T2 - The journal of behavioral health services & research TI - Improving access to primary health care for chronic drug users: An innovative systemic intervention for providers U1 - Education & Workforce; Financing & Sustainability U2 - 12404938 VL - 29 VO - 1094-3412 Y1 - 2002 ER -