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Stigma among health professionals towards patients with substance use disorders and its consequences for healthcare delivery: systematic review.

Abstract：

BACKGROUND:Healthcare professionals are crucial in the identification and accessibility to treatment for people with substance use disorders. Our objective was to assess health professionals' attitudes towards patients with substance use disorders and examine the consequences of these attitudes on healthcare delivery for these patients in Western countries. METHODS:Pubmed, PsycINFO and Embase were systematically searched for articles published between 2000 and 2011. Studies evaluating health professionals' attitudes towards patients with substance use disorders and consequences of negative attitudes were included. An inclusion criterion was that studies addressed alcohol or illicit drug abuse. Reviews, commentaries and letters were excluded, as were studies originating from non-Western countries. RESULTS:The search process yielded 1562 citations. After selection and quality assessment, 28 studies were included. Health professionals generally had a negative attitude towards patients with substance use disorders. They perceived violence, manipulation, and poor motivation as impeding factors in the healthcare delivery for these patients. Health professionals also lacked adequate education, training and support structures in working with this patient group. Negative attitudes of health professionals diminished patients' feelings of empowerment and subsequent treatment outcomes. Health professionals are less involved and have a more task-oriented approach in the delivery of healthcare, resulting in less personal engagement and diminished empathy. CONCLUSIONS:This review indicates that negative attitudes of health professionals towards patients with substance use disorders are common and contribute to suboptimal health care for these patients. However, few studies have evaluated the consequences of health professionals' negative attitudes towards patients with substance use disorders.

journal_name

Drug Alcohol Depend

journal_title

Drug and alcohol dependence

authors

van Boekel LC,Brouwers EP,van Weeghel J,Garretsen HF

doi

10.1016/j.drugalcdep.2013.02.018

subject

Has Abstract

pub_date

2013-07-01 00:00:00

pages

23-35

issue

1-2

eissn

0376-8716

issn

1879-0046

pii

S0376-8716(13)00067-7

journal_volume

131

pub_type

杂志文章,评审

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