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

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dc.citation.issue1
dc.citation.volume23
dc.contributor.authorWithanarachchie V
dc.contributor.authorRychert M
dc.contributor.authorWilkins C
dc.coverage.spatialEngland
dc.date.accessioned2023-08-27T23:51:09Z
dc.date.accessioned2023-09-04T01:41:56Z
dc.date.available2023-01-04
dc.date.available2023-08-27T23:51:09Z
dc.date.available2023-09-04T01:41:56Z
dc.date.issued2023-01-04
dc.date.updated2023-08-27T22:58:39Z
dc.description© The Author(s) 2023en_US
dc.description.abstractBackground Privately-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. Aims This study aimed to explore physicians’ views on cannabis clinics, including their perceptions of the role cannabis clinics play in the wider health system. Methods A 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. Results Cannabis 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. Conclusions Our paper raises a number of challenges with attempting to integrate cannabis clinics into the wider health system.
dc.format.extent10-
dc.identifier10.1186/s12913-022-09021-y
dc.identifierhttps://www.ncbi.nlm.nih.gov/pubmed/36600251
dc.identifier.citationWithanarachchie V, Rychert M, Wilkins C. (2023). The role of cannabis clinics in the health system: a qualitative study of physicians' views in New Zealand.. BMC Health Serv Res. 23. 1. (pp. 10-).
dc.identifier.doi10.1186/s12913-022-09021-y
dc.identifier.eissn1472-6963
dc.identifier.elements-typejournal-article
dc.identifier.harvestedMassey_Dark
dc.identifier.issn1472-6963
dc.identifier.urihttp://hdl.handle.net/10179/20038
dc.languageeng
dc.publisherBioMed Central Ltd
dc.relation.isPartOfBMC Health Serv Res
dc.rightsCC BY 4.0en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en_US
dc.subjectCBD
dc.subjectCannabidiol
dc.subjectCannabis
dc.subjectCannabis clinic
dc.subjectMedical marijuana
dc.subjectMedicinal cannabis
dc.subjectQualitative research
dc.subjectHumans
dc.subjectCannabis
dc.subjectNew Zealand
dc.subjectAttitude of Health Personnel
dc.subjectGeneral Practitioners
dc.subjectMedical Marijuana
dc.titleThe role of cannabis clinics in the health system: a qualitative study of physicians' views in New Zealand
dc.typeJournal article
pubs.elements-id459112
pubs.organisational-groupOther
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