Doctor-patient relationship barriers to substance dependents seeking treatment

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. A qualitative exploratory study...

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Bibliographic Details
Published in:Revista de saúde pública 2002-08, Vol.36 (4), p.439
Main Authors: Fontanella, Bruno José Barcellos, Turato, Egberto Ribeiro
Format: Article
Language:Portuguese
Subjects:
Adolescent
Adult
Attitude of Health Personnel
Fear
Female
Humans
Interview, Psychological
Male
Middle Aged
Patient Acceptance of Health Care - psychology
Physician-Patient Relations
Qualitative Research
Quality of Health Care
Substance Abuse Treatment Centers
Substance-Related Disorders - psychology
Substance-Related Disorders - therapy
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Summary: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. 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. 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." 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.
ISSN:0034-8910
DOI:10.1590/S0034-89102002000400009