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Responding to health policy recommendations on managing opioid use disorder during Russia's invasion of Ukraine: Divergent responses from the frontline to the west

Summary: Russia's invasion of Ukraine on February 24, 2022, followed by Ukraine's Martial law, has disrupted the routine delivery of healthcare services, including opioid agonist treatment (OAT) programs. Directors (chief addiction treatment physicians) of these programs in each region had...

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Autores principales: Ivasiy, Roman, Galvez de Leon, Samy J., Meteliuk, Anna, Fomenko, Tetiana, Pykalo, Iryna, Bromberg, Daniel J., Madden, Lynn M., Farnum, Scott O., Islam, Zahedul, Altice, Frederick L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9880308/
https://www.ncbi.nlm.nih.gov/pubmed/36711398
http://dx.doi.org/10.3389/fpubh.2022.1044677
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author Ivasiy, Roman
Galvez de Leon, Samy J.
Meteliuk, Anna
Fomenko, Tetiana
Pykalo, Iryna
Bromberg, Daniel J.
Madden, Lynn M.
Farnum, Scott O.
Islam, Zahedul
Altice, Frederick L.
author_facet Ivasiy, Roman
Galvez de Leon, Samy J.
Meteliuk, Anna
Fomenko, Tetiana
Pykalo, Iryna
Bromberg, Daniel J.
Madden, Lynn M.
Farnum, Scott O.
Islam, Zahedul
Altice, Frederick L.
author_sort Ivasiy, Roman
collection PubMed
description Summary: Russia's invasion of Ukraine on February 24, 2022, followed by Ukraine's Martial law, has disrupted the routine delivery of healthcare services, including opioid agonist treatment (OAT) programs. Directors (chief addiction treatment physicians) of these programs in each region had flexibility with implementing a series of adaptations to their practice to respond to war disruptions like mass internal displacement and legislation updates allowing more flexibility with OAT distribution policies and take-home dosing regulations. We conducted 8 in-depth interviews with directors from seven regions of Ukraine to describe their experiences providing OAT during a specific time during the war and the local crisis-response approach under the emergency policy updates. We categorized their experiences according to the level of exposure to conflict in each region and displacement of patients across the country, which may provide future guidance for OAT provision during the conflict.
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spelling pubmed-98803082023-01-28 Responding to health policy recommendations on managing opioid use disorder during Russia's invasion of Ukraine: Divergent responses from the frontline to the west Ivasiy, Roman Galvez de Leon, Samy J. Meteliuk, Anna Fomenko, Tetiana Pykalo, Iryna Bromberg, Daniel J. Madden, Lynn M. Farnum, Scott O. Islam, Zahedul Altice, Frederick L. Front Public Health Public Health Summary: Russia's invasion of Ukraine on February 24, 2022, followed by Ukraine's Martial law, has disrupted the routine delivery of healthcare services, including opioid agonist treatment (OAT) programs. Directors (chief addiction treatment physicians) of these programs in each region had flexibility with implementing a series of adaptations to their practice to respond to war disruptions like mass internal displacement and legislation updates allowing more flexibility with OAT distribution policies and take-home dosing regulations. We conducted 8 in-depth interviews with directors from seven regions of Ukraine to describe their experiences providing OAT during a specific time during the war and the local crisis-response approach under the emergency policy updates. We categorized their experiences according to the level of exposure to conflict in each region and displacement of patients across the country, which may provide future guidance for OAT provision during the conflict. Frontiers Media S.A. 2023-01-13 /pmc/articles/PMC9880308/ /pubmed/36711398 http://dx.doi.org/10.3389/fpubh.2022.1044677 Text en Copyright © 2023 Ivasiy, Galvez de Leon, Meteliuk, Fomenko, Pykalo, Bromberg, Madden, Farnum, Islam and Altice. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Ivasiy, Roman
Galvez de Leon, Samy J.
Meteliuk, Anna
Fomenko, Tetiana
Pykalo, Iryna
Bromberg, Daniel J.
Madden, Lynn M.
Farnum, Scott O.
Islam, Zahedul
Altice, Frederick L.
Responding to health policy recommendations on managing opioid use disorder during Russia's invasion of Ukraine: Divergent responses from the frontline to the west
title Responding to health policy recommendations on managing opioid use disorder during Russia's invasion of Ukraine: Divergent responses from the frontline to the west
title_full Responding to health policy recommendations on managing opioid use disorder during Russia's invasion of Ukraine: Divergent responses from the frontline to the west
title_fullStr Responding to health policy recommendations on managing opioid use disorder during Russia's invasion of Ukraine: Divergent responses from the frontline to the west
title_full_unstemmed Responding to health policy recommendations on managing opioid use disorder during Russia's invasion of Ukraine: Divergent responses from the frontline to the west
title_short Responding to health policy recommendations on managing opioid use disorder during Russia's invasion of Ukraine: Divergent responses from the frontline to the west
title_sort responding to health policy recommendations on managing opioid use disorder during russia's invasion of ukraine: divergent responses from the frontline to the west
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9880308/
https://www.ncbi.nlm.nih.gov/pubmed/36711398
http://dx.doi.org/10.3389/fpubh.2022.1044677
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