Table 1 Participant characteristics, fields of practice, link to Injection HR and acceptable injection HR procedures
Interview | Initial training | Place | Field of practice | Link to the research question |
|---|---|---|---|---|
I1 | GP | hospital | General addiction medicine including PWID | No direct link to injection HR. Support delegated to HR structures. Possible means: general advice. Main argument: does not feel competent enough in this matter, the structure is not adapted to injection HR and the demands of the patients are for maintaining abstinence and not for HR. |
I2 | psychiatry | hospital | Complex follow-ups, expert consultations | Link: important link to injection HR (career, research). Practical measures of injection HR impossible in a health structure. Support delegated to HR structures. Argument: “how far could it go” |
I3 | other specialty | HR structure | General addiction medicine including PWID | Link: works in an HR structure. Injection HR seen as essential. Possible means: through discussion, explanations, veinous access research, explanations concerning the paraphernalia. No real-time injection supervision. Highlights the lack of time in a medical schedule precluding the possibility of injection HR. |
I4 | psychiatry | hospital | General addiction medicine including PWID | Link: worked in HR in carceral setting. Injection HR only possible if in connection with a therapeutic objective for another substance; no possibility of a medical follow-up exclusively for injection HR. Possible means: general advice and information, practical advice on the use of the paraphernalia. |
I5 | GP | HR structure | General addiction medicine including PWID | Link: important link to injection HR (career, research). Injection HR seen as essential. Possible means: general advice and information, practical advice on the use of the paraphernalia, use of an arm model in group setting, information on the preparation of the substance. |
I6 | other specialty | hospital | General addiction medicine including PWID, expert consultations | Link: associative work, link with HR in the context of expert consultations. Finds injection HR essential. Possible means: general advice and information, practical advice on the use of the paraphernalia. Argument: the opposite is hypocritical; one cannot be an addictologist without being an HR specialist. |
I7 | GP | private practice | General addiction medicine including PWID | Link: practices injection HR. Possible means: real-time injection supervision. Argument: personal story of meeting a user, utility, relationship. |
I8 | GP | hospital | General addiction medicine including PWID | Link: important link with injection HR (career). Possible means: general advice, information about safe injection tutorials, screening tutorials. Argument: respect for the person, utility, relationship. |
I9 | psychiatry | hospital | Complex consultations, expert consultations | Link: direct link to injection HR (research). Support delegated to HR structures. Argument: organizational constraints (doctors should engage in purely medical activities). |
I10 | psychiatry | hospital | Complex consultations, expert consultations | No direct link to injection HR. Injection HR delegated to HR structures. Argument: others do it as well and engage fewer resources. No fundamental moral tension with injection HR. |
I11 | psychiatry | hospital | Complex consultations, expert consultations | No direct link to injection HR. Possible means: general advice, information about safe injection tutorials. |