CK and HE were supported by grants from the National Institutes of Health, National Institute on Drug Abuse (UG1DA015815/ R01DA037441). This publication was also made possible with support from the Oregon Clinical and Translational Research Institute (OCTRI), grant number UL1TR002369 from the National Center for Research Resources (NCRR), a component of the National Institutes of Health (NIH), and NIH Roadmap for Medical Research. CK was also supported by the National Center for Advancing Translational Sciences, National Institutes of Health, through Grant Award Number TL1TR002371.
COVID-19 (Disease) -- United States -- Health care
Background: 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).
Methods: 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.
Results: 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.
Discussion: 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.
© 2021 King et al.
This work is licensed under a Creative Commons Attribution 4.0 International License.
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King C, Vega T, Button D, Nicolaidis C, Gregg J, Englander H (2021) Understanding the impact of the SARS-COV-2 pandemic on hospitalized patients with substance use disorder. PLoS ONE 16(2): e0247951. https://doi.org/10.1371/journal.pone.0247951