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2015 ; 10
(ä): 16
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The management of opiate use disorders in France: results of an observational
survey of general practitioners
#MMPMID26117831
Poloméni P
; Bronner C
; Fry F
; Ravoninjatovo B
; Fatseas M
Addict Sci Clin Pract
2015[Jun]; 10
(ä): 16
PMID26117831
show ga
BACKGROUND: When opioid-agonist treatments were approved in France in 1995,
opiate use disorders began to be managed and treated by general practitioners
(GPs), who have since then been encouraged to treat substance use disorders
(SUDs) for heroin and other illegal substances. The objective of this study was
to describe rates of: 1) SUDs in general practices in France; 2) characteristics
of GPs treating SUDs; and 3) clinical practices surrounding SUDs. To place these
data in the context of SUD treatment, we also gathered information from
practicing SUD specialists. METHODS: Between December 2011 and January 2012, a
nationally representative sample of GPs and SUD specialists were interviewed by
phone, using a 12-item questionnaire that covered number of SUD patients, types
of SUDs, and treatments. Data collected were confidential, and analysis was
blinded with regard to physician identity. RESULTS: Forty-four percent of GPs and
68 % of specialists were included in the analysis. The mean number of patients
estimated to have been seen at least once in the previous year was 3036 for GPs
and 920 for specialists. Ninety-six percent of GPs reported having patients with
SUDs. Tobacco, alcohol, and psychoactive drugs were the SUDs most frequently
encountered by GPs, whereas tobacco, alcohol, heroin, and cannabis were most
frequently encountered by specialists. Forty-three percent of GPs saw at least
one patient with a heroin use disorder (HUD), and 82 % of GPs treating patients
with HUDs had prescribed an opioid-agonist treatment during the previous 12
months. CONCLUSIONS: The results of this study suggest that a large number of GPs
now treat patients with opiate use disorders and that doctors appear to be
convinced of the benefits of opioid-agonist therapy and have overcome their
initial concerns. This represents a significant change in practice patterns since
the introduction of opioid-agonist treatments in France.
|Adult
[MESH]
|Female
[MESH]
|France
[MESH]
|General Practitioners/*statistics & numerical data
[MESH]
|Heroin Dependence/drug therapy
[MESH]
|Humans
[MESH]
|Male
[MESH]
|Middle Aged
[MESH]
|Opiate Substitution Treatment/*methods
[MESH]
|Opioid-Related Disorders/*drug therapy
[MESH]
|Pilot Projects
[MESH]
|Practice Patterns, Physicians'/*statistics & numerical data
[MESH]