Research Objectives: A unique Community Education intervention was designed to improve access to the health care system for chronic drug users. Intervention subjects were educated about the health care system and health-seeking behavior, particularly when it is appropriate to use the emergency room (ER) versus primary care for specific health problems. Study Design: A stratified sample of 436 CDUs and non-drug users (NDUs) were recruited using street outreach techniques and assigned to intervention or no-intervention groups. The intervention consisted of (1) discussion with an outreach worker about one's health and how to use the healthcare system, (2) transportation to receive a physical exam, and (3) assistance in obtaining health insurance if needed. Pre-post intervention data were collected to assess changes in health care-seeking behavior. Principal Findings: Pre-post results found that after completing the intervention, participants were (1) significantly less likely to need care (p<.001) and to use the ER for primary care (p<.001) and (2) significantly more likely to receive care if they had a health problem (p<.000). A greater proportion was also covered by insurance. Conclusions: CDUs can be taught how to appropriately access the health care system, which, in turn can improve their overall health status. When CDUs learn about the importance of seeking care for non-acute health problems and how to seek care, they can more effectively manage their own health. This also benefits the health care system by placing less burden on the ER and appropriately channeling CDUs into primary care settings.
Learning Objectives: At the conclusion of the session, the participant (learner) in this session will be able to: 1. Recognize potential solutions for chronic drug users (CDUs) who often have inequitable access to the health care system. 2. Evaluate a systemic intervention designed to improve access and utilization of the health care system for CDUs. 3. Appreciate the potential of a systems level intervention to build bridges between the health care system and CDUs.
Keywords: Drug Use, Access to Health Care
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
Disclosure not received
Relationship: Not Received.
Handout (.doc format, 25.0 kb)