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Biomedical subjects

René D Drumm

Publications and source records attributed to René D Drumm.

2 recordsLinked to original sources

Technology trauma: barriers to increasing technology utilization.

While most social workers might agree that increasing the use of technology in agencies may be important for developing efficiency and effectiveness, little is known about the obstacles of doing so. In an NIDA-funded demonstration project to increase technology in agencies that serve drug abusing populations, researchers logged all email and memorandum communication for a two and a half year period. These communications documented the progress of the intervention from inception to implementation. Using a qualitative methodology, researchers for this analysis examined the communication documents, noting themes. A core theme focusing on barriers to implementing technology emerged from the data. These barriers included: agency personnel's lack of computer proficiency, lack of motivation for agency personnel to participate in the intervention, and agency personnel not following intervention protocols, having computer hardware and networking problems, the agency's physical structure (lack of space/computers), and the researchers/interventionists having restricted access to agency personnel.

Attitude to Computers↗

"The rock always comes first": drug users' accounts about using formal health care.

Illicit drug use remains a significant public health threat. The issues surrounding drug use are recognized by public health professionals as important for several reasons. The incidence and prevalence of drug use persists in spite of the extensive societal, interpersonal, and individual consequences. In addition, the chronic health issues and health care costs associated with drug use continue to spiral. A wide variety of quantitative studies have examined the extent of health care problems, access, cost, and health care satisfaction among illicit drug users. While these studies offer important information through survey formats, fewer studies focus on subjective constructions of health care management from the users' perspective. This article examines the elements of the decision-making process involved in accessing formal health care among chronic and injecting street drug users. Twenty-eight in-depth interviews provide the data for this analysis, which is part of a large quantitative study of 1,479 injecting and chronic drug users and nondrug users in Miami, Florida. By exploring the elements of health care access through the eyes of the drug users, researchers and treatment professionals may gain insights into new ways to improve health care access for this at-risk population.

Delivery of Health Care↗