The role of cannabis clinics in the health system: a qualitative study of physicians’ views in New Zealand

BMC Health Services Research

Research

Marta Rychert¹  Vinuli Withanarachchie¹  Chris Wilkins¹ 

[1] Shore & Whāriki Research Centre, College of Health, Massey University, Auckland, New Zealand;

关键词: Cannabis;    Cannabidiol;    CBD;    Medical marijuana;    Medicinal cannabis;    Cannabis clinic;    Qualitative research;   

DOI  :  10.1186/s12913-022-09021-y

 received in 2022-08-26, accepted in 2022-12-30,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundPrivately-owned cannabis clinics have sprung up in many jurisdictions where medicinal cannabis has been legalised and provide an alternative pathway for patients who are unable or unwilling to access a prescription for cannabis-based medicinal products from their usual healthcare providers.AimsThis study aimed to explore physicians’ views on cannabis clinics, including their perceptions of the role cannabis clinics play in the wider health system.MethodsA qualitative study using in-depth, semi-structured interviews with thirty-one physicians affiliated with private and community clinics in New Zealand (including cannabis clinicians, GPs, and specialist doctors). The interviews were conducted from July to December 2021. Data were transcribed and analysed using inductive thematic analysis.ResultsCannabis clinicians positioned themselves as (1) “service providers”, facilitating consumer access to cannabis prescriptions and products, and (2) “educators”, providing advice to patients and the wider physician community. While general practitioners and specialists recognised the benefits of specialised cannabis clinics (i.e., knowledge of products and a non-judgmental environment), they questioned the limited evidence of clinical efficacy for cannabis, potential financial conflicts of interests of cannabis clinicians that may blur their clinical judgement, and the risk of compartmentalising patients’ healthcare.ConclusionsOur paper raises a number of challenges with attempting to integrate cannabis clinics into the wider health system.

【 授权许可】

CC BY   
© The Author(s) 2023. corrected publication 2023