Accessing Intravenous Drug Users via the Health Care System

1990 ◽  
Author(s):  
Patricia E. Evans ◽  
2007 ◽  
Vol 24 (5) ◽  
pp. 481-503
Author(s):  
Riikka Perälä

This article looks at how intravenous drug users in Finland perceive their problems and the social and health care interventions designed to address those problems. Aim The aim is to open up new perspectives on the current debate around the services and treatments available to drug users. The study is based on an ethnographic observation and interview material collected at health counselling centres for intravenous drug users, including users' talk about the service system and their service needs as well as my own observations of how drug users cope within the service system. Methods The discourse analysis is grounded in the concept and idea of talking back, which I use to challenge current constructions (often by experts and the authorities) of the drug abuse problem. I juxtapose these constructions with drug users' interpretations, which I address by the concept of interpretative framework. Results Drug users themselves also describe their lives largely via their problems, but their explanations of these problems are rather different from those offered by experts and the authorities. The first key characteristic is the tension that is constructed between drug users who look upon themselves as abnormal and the so-called normal population. A second distinctive feature in drug users' everyday life is its multiple, simultaneous problems and it's oppressive, unbearably forced rhythm. Conclusion Existing social and health care interventions do not provide adequate support to drug users, but on the contrary may even complicate their lives.


2014 ◽  
Vol 4 (1) ◽  
pp. 23-29
Author(s):  
Constance Hilory Tomberlin

There are a multitude of reasons that a teletinnitus program can be beneficial, not only to the patients, but also within the hospital and audiology department. The ability to use technology for the purpose of tinnitus management allows for improved appointment access for all patients, especially those who live at a distance, has been shown to be more cost effective when the patients travel is otherwise monetarily compensated, and allows for multiple patient's to be seen in the same time slots, allowing for greater access to the clinic for the patients wishing to be seen in-house. There is also the patient's excitement in being part of a new technology-based program. The Gulf Coast Veterans Health Care System (GCVHCS) saw the potential benefits of incorporating a teletinnitus program and began implementation in 2013. There were a few hurdles to work through during the beginning organizational process and the initial execution of the program. Since the establishment of the Teletinnitus program, the GCVHCS has seen an enhancement in patient care, reduction in travel compensation, improvement in clinic utilization, clinic availability, the genuine excitement of the use of a new healthcare media amongst staff and patients, and overall patient satisfaction.


2007 ◽  
Vol 38 (1) ◽  
pp. 18
Author(s):  
KEVIN GRUMBACH ◽  
ROBERT MOFFIT

2007 ◽  
Vol 40 (1) ◽  
pp. 6
Author(s):  
KEVIN GRUMBACH ◽  
ROBERT MOFFIT

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