Table 2 Structural barriers in the health care provision for substituted opiate addicts
Items | All (N = 596) | Treatment unit size S | Group difference | ||
|---|---|---|---|---|---|
Small (N = 130) | Medium (N = 209) | Large (n = 257) | |||
Main barriers for OST (%; yes, often) | |||||
Strong degree of regulation | 84.8 | 82.3 | 88.0 | 83.5 | n.s. |
High interdisciplinary requirements | 29.7 | 24.6 | 32.7 | 29.8 | n.s. |
Legal consequences by violation of regulations | 79.1 | 74.6 | 81.7 | 79,2 | n.s. |
Disproportion between effort & remuneration | 75.0 | 76.9 | 80.3 | 69.8 | p = .030 |
Inadequate psychosocial support | 37.9 | 46.2 | 37.5 | 34.1 | n.s. |
Main barriers for HIV treatment (%; yes, often) | |||||
Insufficient experience/qualification | 59.7 | 58.5 | 64.1 | 56.8 | n.s. |
High treatment risks | 26.3 | 26.2 | 29.2 | 24.1 | n.s. |
Budgetary reasons | 29.9 | 35.4 | 31.6 | 25.7 | n.s. |
Lack of cooperation with regional experts | 12.4 | 17.7 | 10.5 | 11.3 | n.s. |
Difficulties to integrate treatment in the daily routines | 19.5 | 18.5 | 23.9 | 16.3 | n.s. |
Main barriers for HCV treatment (%; yes, often) | |||||
Insufficient experience/qualification | 34.2 | 39.2 | 39.7 | 27.2 | p = .007 |
High treatment risks | 19.5 | 20.8 | 21.5 | 17.1 | n.s. |
Budgetary reasons | 23.7 | 28.5 | 28.2 | 17.5 | p = .009 |
Lack of cooperation with regional experts | 6.9 | 12.3 | 5.7 | 5.1 | p = .021 |
Difficulties to integrate treatment in the daily routines | 15.9 | 13.8 | 20.1 | 13.6 | n.s. |
Main barrier for psychiatric care (%; yes, often) | |||||
Insufficient capacity to refer OST patients to psychiatrists | 42.3 | 31.0 | 46.9 | 44.3 | p = .012 |