TY - JOUR KW - Delivery of Health Care KW - General Practitioners KW - Humans KW - Methamphetamine KW - Primary Health Care KW - Rural Population AU - B. Ward AU - R. Lane AU - B. Quinn AU - G. Russell A1 - AB - BACKGROUND AND OBJECTIVES: General practice is the most common source of healthcare for people who use methamphetamine. The aim of this study was to explore primary care providers' understandings of access to and service utilisation by this group. METHOD: Semi-structured interviews were conducted with general practitioners, practice nurses and alcohol and other drug service providers from two large towns in rural Victoria. RESULTS: Participants (n = 8) reported that availability (workforce shortages, time, complex clinician-client relationships), acceptability (stigma) and appropriateness of care (skill mix, referral networks, models of care) were associated with access to care for this population. Affordability of care was not perceived to be of concern. DISCUSSION: Availability of care is not enough to ensure utilisation and improved health outcomes among consumers who use methamphetamine. Provision of services to this group and to other substance-using populations requires the right 'skill mix' across and within healthcare organisations. AD - PhD, Associate Professor, School of Rural Health, Monash University, Vic; Behaviours and Health Risks Program, Burnet Institute, Vic.; PhD, Research Fellow, Department of General Practice, School of Public Health and Preventive Medicine, Monash University, Vic.; PhD, Research Fellow, Behaviours and Health Risks Program, Burnet Institute, Vic; School of Public Health and Preventive Medicine, Monash University, Vic.; MBBS, FRACGP, MFM, PhD, Professor, Primary Care Research, Department of General Practice, Monash University, Vic; Director, Southern Academic Primary Care Research Unit, Faculty of Medicine, Nursing and Health Sciences, Monash University, Vic; Chair, Editorial Advisory Committee, Australian Journal of General Practice. BT - Australian journal of general practice C5 - Education & Workforce; Opioids & Substance Use CP - 7 CY - Australia DO - 10.31128/AJGP-07-20-5550 IS - 7 JF - Australian journal of general practice LA - eng M1 - Journal Article N2 - BACKGROUND AND OBJECTIVES: General practice is the most common source of healthcare for people who use methamphetamine. The aim of this study was to explore primary care providers' understandings of access to and service utilisation by this group. METHOD: Semi-structured interviews were conducted with general practitioners, practice nurses and alcohol and other drug service providers from two large towns in rural Victoria. RESULTS: Participants (n = 8) reported that availability (workforce shortages, time, complex clinician-client relationships), acceptability (stigma) and appropriateness of care (skill mix, referral networks, models of care) were associated with access to care for this population. Affordability of care was not perceived to be of concern. DISCUSSION: Availability of care is not enough to ensure utilisation and improved health outcomes among consumers who use methamphetamine. Provision of services to this group and to other substance-using populations requires the right 'skill mix' across and within healthcare organisations. PP - Australia PY - 2021 SN - 2208-7958 SP - 505 EP - 510 EP - T1 - Qualitative understandings of access to primary care services for consumers who use methamphetamine T2 - Australian journal of general practice TI - Qualitative understandings of access to primary care services for consumers who use methamphetamine U1 - Education & Workforce; Opioids & Substance Use U2 - 34189551 U3 - 10.31128/AJGP-07-20-5550 VL - 50 VO - 2208-7958 Y1 - 2021 Y2 - Jul ER -