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A qualitative study of professionals’ perspectives on the ethics of medically-delivered safer injection education for people who inject drugs

BACKGROUND: In this qualitative analysis we aimed to explore addiction physicians’ perspectives on safer injection education for people who inject drugs, especially: (1) on possible means of introducing safer injection education in the medical environment, (2) on the compatibility of safer injection...

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Autores principales: Demina, Anastasia, Desprès, Caroline, Mamzer, Marie-France
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10422818/
https://www.ncbi.nlm.nih.gov/pubmed/37568123
http://dx.doi.org/10.1186/s12910-023-00939-4
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author Demina, Anastasia
Desprès, Caroline
Mamzer, Marie-France
author_facet Demina, Anastasia
Desprès, Caroline
Mamzer, Marie-France
author_sort Demina, Anastasia
collection PubMed
description BACKGROUND: In this qualitative analysis we aimed to explore addiction physicians’ perspectives on safer injection education for people who inject drugs, especially: (1) on possible means of introducing safer injection education in the medical environment, (2) on the compatibility of safer injection education with each physician’s core values and goals, and (3) on possible reasons for the ethical dilemma in safer injection education. METHODS: We conducted semi-structured interviews with eleven physicians practicing addiction medicine in France in clinical and harm reduction settings. RESULTS: All participants were in favor of educational interventions for people who inject drugs. Nonetheless, these interventions varied from simple advice to injection supervision and they were seen as less acceptable when they concerned the practical and material aspects of injection. Some participants found that physicians practicing in clinical settings, where patients consult mostly to stop their drug use, should not practice safer injection education. On the contrary, other participants claimed that safer injection education was essential in all settings and was not a choice but rather a duty for addiction physicians. The ethical dilemma of such intervention when delivered by medical staff was viewed as a complex phenomenon, related to the representations of intravenous drug use and to societal expectations from physicians. CONCLUSION: Physicians’ views on safer injection education for people who inject drugs reveal an emotionally charged subject related to the structural organization of addiction management in France. Such education is marked by an arduous history of harm reduction policies in France. IRB REGISTRATION: #00011928. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12910-023-00939-4.
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spelling pubmed-104228182023-08-13 A qualitative study of professionals’ perspectives on the ethics of medically-delivered safer injection education for people who inject drugs Demina, Anastasia Desprès, Caroline Mamzer, Marie-France BMC Med Ethics Research BACKGROUND: In this qualitative analysis we aimed to explore addiction physicians’ perspectives on safer injection education for people who inject drugs, especially: (1) on possible means of introducing safer injection education in the medical environment, (2) on the compatibility of safer injection education with each physician’s core values and goals, and (3) on possible reasons for the ethical dilemma in safer injection education. METHODS: We conducted semi-structured interviews with eleven physicians practicing addiction medicine in France in clinical and harm reduction settings. RESULTS: All participants were in favor of educational interventions for people who inject drugs. Nonetheless, these interventions varied from simple advice to injection supervision and they were seen as less acceptable when they concerned the practical and material aspects of injection. Some participants found that physicians practicing in clinical settings, where patients consult mostly to stop their drug use, should not practice safer injection education. On the contrary, other participants claimed that safer injection education was essential in all settings and was not a choice but rather a duty for addiction physicians. The ethical dilemma of such intervention when delivered by medical staff was viewed as a complex phenomenon, related to the representations of intravenous drug use and to societal expectations from physicians. CONCLUSION: Physicians’ views on safer injection education for people who inject drugs reveal an emotionally charged subject related to the structural organization of addiction management in France. Such education is marked by an arduous history of harm reduction policies in France. IRB REGISTRATION: #00011928. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12910-023-00939-4. BioMed Central 2023-08-11 /pmc/articles/PMC10422818/ /pubmed/37568123 http://dx.doi.org/10.1186/s12910-023-00939-4 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Demina, Anastasia
Desprès, Caroline
Mamzer, Marie-France
A qualitative study of professionals’ perspectives on the ethics of medically-delivered safer injection education for people who inject drugs
title A qualitative study of professionals’ perspectives on the ethics of medically-delivered safer injection education for people who inject drugs
title_full A qualitative study of professionals’ perspectives on the ethics of medically-delivered safer injection education for people who inject drugs
title_fullStr A qualitative study of professionals’ perspectives on the ethics of medically-delivered safer injection education for people who inject drugs
title_full_unstemmed A qualitative study of professionals’ perspectives on the ethics of medically-delivered safer injection education for people who inject drugs
title_short A qualitative study of professionals’ perspectives on the ethics of medically-delivered safer injection education for people who inject drugs
title_sort qualitative study of professionals’ perspectives on the ethics of medically-delivered safer injection education for people who inject drugs
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10422818/
https://www.ncbi.nlm.nih.gov/pubmed/37568123
http://dx.doi.org/10.1186/s12910-023-00939-4
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