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    Rights statement: This is an Accepted Manuscript of an article published by Taylor & Francis in AIDS Care on 10/03/2017, available online: http://www.tandfonline.com/10.1080/09540121.2017.1300634

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Integrated opioid substitution therapy and HIV care: a qualitative systematic review and synthesis of client and provider experiences

Research output: Contribution to journalJournal articlepeer-review

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Integrated opioid substitution therapy and HIV care : a qualitative systematic review and synthesis of client and provider experiences. / Guise, Andy; Seguin, Maureen; Mburu, Gitau; McLean, Susie; Grenfell, Pippa; Islam, Zahed; Filippovych, Sergii; Assan, Happy; Low, Andrea J.; Vickerman, Peter ; Rhodes, Tim.

In: AIDS Care, Vol. 29, No. 9, 09.2017, p. 1119-1128.

Research output: Contribution to journalJournal articlepeer-review

Harvard

Guise, A, Seguin, M, Mburu, G, McLean, S, Grenfell, P, Islam, Z, Filippovych, S, Assan, H, Low, AJ, Vickerman, P & Rhodes, T 2017, 'Integrated opioid substitution therapy and HIV care: a qualitative systematic review and synthesis of client and provider experiences', AIDS Care, vol. 29, no. 9, pp. 1119-1128. https://doi.org/10.1080/09540121.2017.1300634

APA

Guise, A., Seguin, M., Mburu, G., McLean, S., Grenfell, P., Islam, Z., Filippovych, S., Assan, H., Low, A. J., Vickerman, P., & Rhodes, T. (2017). Integrated opioid substitution therapy and HIV care: a qualitative systematic review and synthesis of client and provider experiences. AIDS Care, 29(9), 1119-1128. https://doi.org/10.1080/09540121.2017.1300634

Vancouver

Author

Guise, Andy ; Seguin, Maureen ; Mburu, Gitau ; McLean, Susie ; Grenfell, Pippa ; Islam, Zahed ; Filippovych, Sergii ; Assan, Happy ; Low, Andrea J. ; Vickerman, Peter ; Rhodes, Tim. / Integrated opioid substitution therapy and HIV care : a qualitative systematic review and synthesis of client and provider experiences. In: AIDS Care. 2017 ; Vol. 29, No. 9. pp. 1119-1128.

Bibtex

@article{dbb24aa9eaf8434dbfed234790bfede6,
title = "Integrated opioid substitution therapy and HIV care: a qualitative systematic review and synthesis of client and provider experiences",
abstract = "People who use drugs in many contexts have limited access to opioid substitution therapy and HIV care. Service integration is one strategy identified to support increased access. We reviewed and synthesized literature exploring client and provider experiences of integrated opioid substitution therapy and HIV care to identify acceptable approaches to care delivery. We systematically reviewed qualitative literature. We searched nine bibliographic databases, supplemented by manual searches of reference lists of articles from the database search, relevant journals, conferences, key organizations and consultation with experts. Thematic synthesis was used to develop descriptive themes in client and provider experiences. The search yielded 11 articles for inclusion, along with 8 expert and policy reports. We identify five descriptive themes: the convenience and comprehensive nature of co-located care, contrasting care philosophies and their role in shaping integration, the limits to disclosure and communication between clients and providers, opioid substitution therapy enabling HIV care access and engagement, and health system challenges to delivering integrated services. The discussion explores how integrated opioid substitution therapy and HIV care needs to adapt to specific social conditions, rather than following universal approaches. We identify priorities for future research. Acceptable integrated opioid substitution therapy and HIV care for people who use drugs and providers is most likely through co-located care and relies upon attention to stigma, supportive relationships and client centred cultures of delivery. Further research is needed to understand experiences of integrated care, particularly delivery in low and middle income settings and models of care focused on community and non-clinic based delivery.",
keywords = "People who inject drugs, OST, HIV, ART, integration",
author = "Andy Guise and Maureen Seguin and Gitau Mburu and Susie McLean and Pippa Grenfell and Zahed Islam and Sergii Filippovych and Happy Assan and Low, {Andrea J.} and Peter Vickerman and Tim Rhodes",
note = "This is an Accepted Manuscript of an article published by Taylor & Francis in AIDS Care on 10/03/2017, available online: http://www.tandfonline.com/10.1080/09540121.2017.1300634",
year = "2017",
month = sep,
doi = "10.1080/09540121.2017.1300634",
language = "English",
volume = "29",
pages = "1119--1128",
journal = "AIDS Care",
issn = "0954-0121",
publisher = "Routledge",
number = "9",

}

RIS

TY - JOUR

T1 - Integrated opioid substitution therapy and HIV care

T2 - a qualitative systematic review and synthesis of client and provider experiences

AU - Guise, Andy

AU - Seguin, Maureen

AU - Mburu, Gitau

AU - McLean, Susie

AU - Grenfell, Pippa

AU - Islam, Zahed

AU - Filippovych, Sergii

AU - Assan, Happy

AU - Low, Andrea J.

AU - Vickerman, Peter

AU - Rhodes, Tim

N1 - This is an Accepted Manuscript of an article published by Taylor & Francis in AIDS Care on 10/03/2017, available online: http://www.tandfonline.com/10.1080/09540121.2017.1300634

PY - 2017/9

Y1 - 2017/9

N2 - People who use drugs in many contexts have limited access to opioid substitution therapy and HIV care. Service integration is one strategy identified to support increased access. We reviewed and synthesized literature exploring client and provider experiences of integrated opioid substitution therapy and HIV care to identify acceptable approaches to care delivery. We systematically reviewed qualitative literature. We searched nine bibliographic databases, supplemented by manual searches of reference lists of articles from the database search, relevant journals, conferences, key organizations and consultation with experts. Thematic synthesis was used to develop descriptive themes in client and provider experiences. The search yielded 11 articles for inclusion, along with 8 expert and policy reports. We identify five descriptive themes: the convenience and comprehensive nature of co-located care, contrasting care philosophies and their role in shaping integration, the limits to disclosure and communication between clients and providers, opioid substitution therapy enabling HIV care access and engagement, and health system challenges to delivering integrated services. The discussion explores how integrated opioid substitution therapy and HIV care needs to adapt to specific social conditions, rather than following universal approaches. We identify priorities for future research. Acceptable integrated opioid substitution therapy and HIV care for people who use drugs and providers is most likely through co-located care and relies upon attention to stigma, supportive relationships and client centred cultures of delivery. Further research is needed to understand experiences of integrated care, particularly delivery in low and middle income settings and models of care focused on community and non-clinic based delivery.

AB - People who use drugs in many contexts have limited access to opioid substitution therapy and HIV care. Service integration is one strategy identified to support increased access. We reviewed and synthesized literature exploring client and provider experiences of integrated opioid substitution therapy and HIV care to identify acceptable approaches to care delivery. We systematically reviewed qualitative literature. We searched nine bibliographic databases, supplemented by manual searches of reference lists of articles from the database search, relevant journals, conferences, key organizations and consultation with experts. Thematic synthesis was used to develop descriptive themes in client and provider experiences. The search yielded 11 articles for inclusion, along with 8 expert and policy reports. We identify five descriptive themes: the convenience and comprehensive nature of co-located care, contrasting care philosophies and their role in shaping integration, the limits to disclosure and communication between clients and providers, opioid substitution therapy enabling HIV care access and engagement, and health system challenges to delivering integrated services. The discussion explores how integrated opioid substitution therapy and HIV care needs to adapt to specific social conditions, rather than following universal approaches. We identify priorities for future research. Acceptable integrated opioid substitution therapy and HIV care for people who use drugs and providers is most likely through co-located care and relies upon attention to stigma, supportive relationships and client centred cultures of delivery. Further research is needed to understand experiences of integrated care, particularly delivery in low and middle income settings and models of care focused on community and non-clinic based delivery.

KW - People who inject drugs

KW - OST

KW - HIV

KW - ART

KW - integration

U2 - 10.1080/09540121.2017.1300634

DO - 10.1080/09540121.2017.1300634

M3 - Journal article

VL - 29

SP - 1119

EP - 1128

JO - AIDS Care

JF - AIDS Care

SN - 0954-0121

IS - 9

ER -