TY - JOUR
KW - Humans
KW - Opiate Substitution Treatment
KW - Opioid-Related Disorders/drug therapy
KW - Patient Acceptance of Health Care
KW - Primary Health Care
KW - Sweden/epidemiology
KW - Sweden
KW - Cardiovascular Diseases
KW - Health Equity
KW - Health Services Accessibility
AU - E. Bäckström
AU - K. Troberg
AU - A. Hakansson
AU - D. Dahlman
A1 - 
AB - Patients in Opioid Substitution Treatment (OST) have increased mortality and morbidity, with circulatory conditions suggested to be a contributing factor. Since OST patients tend to have unmet physical healthcare needs, a small-scale intervention providing on-site primary healthcare (PHC) in OST clinics was implemented in Malmö, Sweden in 2016. In this study, we assessed registered circulatory conditions and healthcare utilization in OST patients with and without use of on-site PHC. Patients from four OST clinics in Malmö, Sweden, were recruited to a survey study in 2017-2018. Medical records for the participants were retrieved for one year prior to study participation (n = 192), and examined for circulatory diagnoses, examinations and follow-ups. Patients with and without on-site PHC were compared through descriptive statistics and univariate analyses. Eighteen percent (n = 34) of the sample had 1≤ registered circulatory condition, and 6% (n = 12) attended any clinical physiology examination or follow-up, respectively. Among patients utilizing on-site PHC (n = 26), the numbers were 27% (n = 7) for circulatory diagnosis, 15% (n = 4) for examinations, and 12% (n = 3) for follow-up. OST patients seem underdiagnosed in regard to their circulatory health. On-site PHC might be a way to diagnose and treat circulatory conditions among OST patients, although further research is needed.
AD - Center for Primary Health Care Research, Department of Clinical Sciences, Lund University, Region Skåne, 205 02 Malmö, Sweden.; Division of Psychiatry, Department of Clinical Sciences Lund, Lund University, 221 85 Lund, Sweden.; Malmö Addiction Centre, Skåne University Hospital, 205 02 Malmö, Sweden.; Division of Psychiatry, Department of Clinical Sciences Lund, Lund University, 221 85 Lund, Sweden.; Malmö Addiction Centre, Skåne University Hospital, 205 02 Malmö, Sweden.; Center for Primary Health Care Research, Department of Clinical Sciences, Lund University, Region Skåne, 205 02 Malmö, Sweden.; Division of Psychiatry, Department of Clinical Sciences Lund, Lund University, 221 85 Lund, Sweden.; Malmö Addiction Centre, Skåne University Hospital, 205 02 Malmö, Sweden.
BT - International journal of environmental research and public health
C5 - Education & Workforce; Healthcare Disparities; Opioids & Substance Use
CP - 9
DO - 10.3390/ijerph18094614
IS - 9
JF - International journal of environmental research and public health
LA - eng
M1 - Journal Article
N2 - Patients in Opioid Substitution Treatment (OST) have increased mortality and morbidity, with circulatory conditions suggested to be a contributing factor. Since OST patients tend to have unmet physical healthcare needs, a small-scale intervention providing on-site primary healthcare (PHC) in OST clinics was implemented in Malmö, Sweden in 2016. In this study, we assessed registered circulatory conditions and healthcare utilization in OST patients with and without use of on-site PHC. Patients from four OST clinics in Malmö, Sweden, were recruited to a survey study in 2017-2018. Medical records for the participants were retrieved for one year prior to study participation (n = 192), and examined for circulatory diagnoses, examinations and follow-ups. Patients with and without on-site PHC were compared through descriptive statistics and univariate analyses. Eighteen percent (n = 34) of the sample had 1≤ registered circulatory condition, and 6% (n = 12) attended any clinical physiology examination or follow-up, respectively. Among patients utilizing on-site PHC (n = 26), the numbers were 27% (n = 7) for circulatory diagnosis, 15% (n = 4) for examinations, and 12% (n = 3) for follow-up. OST patients seem underdiagnosed in regard to their circulatory health. On-site PHC might be a way to diagnose and treat circulatory conditions among OST patients, although further research is needed.
PY - 2021
SN - 1660-4601; 1661-7827; 1660-4601
T1 - Healthcare Contacts Regarding Circulatory Conditions among Swedish Patients in Opioid Substitution Treatment, with and without On-Site Primary Healthcare
T2 - International journal of environmental research and public health
TI - Healthcare Contacts Regarding Circulatory Conditions among Swedish Patients in Opioid Substitution Treatment, with and without On-Site Primary Healthcare
U1 - Education & Workforce; Healthcare Disparities; Opioids & Substance Use
U2 - 33925318
U3 - 10.3390/ijerph18094614
VL - 18
VO - 1660-4601; 1661-7827; 1660-4601
Y1 - 2021
Y2 - Apr 27
ER -