Doctor-patient relationship barriers to substance dependents seeking treatment

被引:6
作者
Fontanella, BJB [1 ]
Turato, ER [1 ]
机构
[1] Univ Estadual Campinas, Fac Ciencias Med, Dept Psicol Med & Psiquiatria, Campinas, SP, Brazil
来源
REVISTA DE SAUDE PUBLICA | 2002年 / 36卷 / 04期
关键词
substance-related disorders psychology; alcohol-related disorders psychology; patient acceptance of health care; psychology medical care; interview; psychological; professional-patient relationship; physician-patient relations; office visits; utilization; qualitative research;
D O I
10.1590/S0034-89102002000400009
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Introduction Knowing the barriers substance dependents come across when seeking treatment has medical and public health implications. The study's aim was to formulate hypothesis on psychological and social and familiar variables forming subjective barriers to early treatment. Methods A qualitative exploratory study was conducted in an intentional sample (selected through saturation and variety of types) of 13 substance dependents who sought treatment. In-depth open-question semi-structured interviews were conducted and the transcribed data underwent qualitative analysis. Results The main barriers in doctor-patient relationship were fear of doctors and facilities which are regarded as "sadistic," and the perception of doctor-patient "distancing." Conclusions Health care professionals should take into consideration the existence of barriers to treatment and should bear this in mind when promoting their services. Issues such as "fear of being abused" and "doctors wouldn't know how to treat me" should be covered in structured questionnaires of further quantitative studies.
引用
收藏
页码:439 / 447
页数:9
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