Understanding the impact of the SARS-COV-2 pandemic on hospitalized patients with substance use disorder.
<h4>Background</h4>The SARS-COV-2 pandemic rapidly shifted dynamics around hospitalization for many communities. This study aimed to evaluate how the pandemic altered the experience of healthcare, acute illness, and care transitions among hospitalized patients with substance use disorder...
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doaj-8c1dec1296f94932af310ed33092031a2021-03-12T05:31:30ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-01162e024795110.1371/journal.pone.0247951Understanding the impact of the SARS-COV-2 pandemic on hospitalized patients with substance use disorder.Caroline KingTaylor VegaDana ButtonChristina NicolaidisJessica GreggHonora Englander<h4>Background</h4>The SARS-COV-2 pandemic rapidly shifted dynamics around hospitalization for many communities. This study aimed to evaluate how the pandemic altered the experience of healthcare, acute illness, and care transitions among hospitalized patients with substance use disorder (SUD).<h4>Methods</h4>We performed a qualitative study at an academic medical center in Portland, Oregon, in Spring 2020. We conducted semi-structured interviews, and conducted a thematic analysis, using an inductive approach, at a semantic level.<h4>Results</h4>We enrolled 27 participants, and identified four main themes: 1) shuttered community resources threatened patients' basic survival adaptations; 2) changes in outpatient care increased reliance on hospitals as safety nets; 3) hospital policy changes made staying in the hospital harder than usual; and, 4) care transitions out of the hospital were highly uncertain.<h4>Discussion</h4>Hospitalized adults with SUD were further marginalized during the SARS-COV-2 pandemic. Systems must address the needs of marginalized patients in future disruptive events.https://doi.org/10.1371/journal.pone.0247951 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Caroline King Taylor Vega Dana Button Christina Nicolaidis Jessica Gregg Honora Englander |
spellingShingle |
Caroline King Taylor Vega Dana Button Christina Nicolaidis Jessica Gregg Honora Englander Understanding the impact of the SARS-COV-2 pandemic on hospitalized patients with substance use disorder. PLoS ONE |
author_facet |
Caroline King Taylor Vega Dana Button Christina Nicolaidis Jessica Gregg Honora Englander |
author_sort |
Caroline King |
title |
Understanding the impact of the SARS-COV-2 pandemic on hospitalized patients with substance use disorder. |
title_short |
Understanding the impact of the SARS-COV-2 pandemic on hospitalized patients with substance use disorder. |
title_full |
Understanding the impact of the SARS-COV-2 pandemic on hospitalized patients with substance use disorder. |
title_fullStr |
Understanding the impact of the SARS-COV-2 pandemic on hospitalized patients with substance use disorder. |
title_full_unstemmed |
Understanding the impact of the SARS-COV-2 pandemic on hospitalized patients with substance use disorder. |
title_sort |
understanding the impact of the sars-cov-2 pandemic on hospitalized patients with substance use disorder. |
publisher |
Public Library of Science (PLoS) |
series |
PLoS ONE |
issn |
1932-6203 |
publishDate |
2021-01-01 |
description |
<h4>Background</h4>The SARS-COV-2 pandemic rapidly shifted dynamics around hospitalization for many communities. This study aimed to evaluate how the pandemic altered the experience of healthcare, acute illness, and care transitions among hospitalized patients with substance use disorder (SUD).<h4>Methods</h4>We performed a qualitative study at an academic medical center in Portland, Oregon, in Spring 2020. We conducted semi-structured interviews, and conducted a thematic analysis, using an inductive approach, at a semantic level.<h4>Results</h4>We enrolled 27 participants, and identified four main themes: 1) shuttered community resources threatened patients' basic survival adaptations; 2) changes in outpatient care increased reliance on hospitals as safety nets; 3) hospital policy changes made staying in the hospital harder than usual; and, 4) care transitions out of the hospital were highly uncertain.<h4>Discussion</h4>Hospitalized adults with SUD were further marginalized during the SARS-COV-2 pandemic. Systems must address the needs of marginalized patients in future disruptive events. |
url |
https://doi.org/10.1371/journal.pone.0247951 |
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