Perceptions, professional responsibility and management experiences of patients with alcohol, tobacco and opioid use disorder by residents in general practice and teaching general practitioners
| Autor: | Nassir Messaadi, Julie Dupouy, Marie Rouillon, Catherine Laporte, Philippe Castera, Philippe Binder, Paolo Di Patrizio, Pierre Ingrand |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty Medicine (General) Letter Attitude of Health Personnel media_common.quotation_subject General Practice education 03 medical and health sciences 0302 clinical medicine R5-920 Alcohol tobacco general practitioners Perception Tobacco medicine Research Letter Humans 030212 general & internal medicine Psychiatry media_common attitudes business.industry 030503 health policy & services Opioid use disorder Middle Aged Professional responsibility medicine.disease Opioid-Related Disorders practice Cross-Sectional Studies substance use disorders General practice residents Substance use 0305 other medical science Family Practice business |
| Zdroj: | European Journal of General Practice, Vol 27, Iss 1, Pp 77-82 (2021) The European Journal of General Practice article-version (VoR) Version of Record |
| ISSN: | 1751-1402 1381-4788 |
| Popis: | Background Substance use disorders (SUDs) are based on pathophysiological mechanisms common to all psychoactive substances. However, general practitioners (GPs) hold different views depending on the substance in question. Objectives To determine whether the perceptions that teaching GPs and final-year residents in general practice have of patients with a SUD vary according to the substance involved and explore their professional responsibility and management experiences. Methods A cross-sectional observational study was carried out by asking residents and teaching GPs from eight faculties of medicine about their perceptions, professional responsibility and management experience of patients with tobacco, alcohol and opioid use disorders, using an online questionnaire between June and September 2017. Results The responses of 238 teaching GPs (mean age 50 years SD 3.5; 58% men) and 327 residents (mean age 28 years SD 9.9; 67% women) were analysed (response rates: 9 and 15% respectively). Tobacco smokers were considered to be more responsible for their acts than the other users. Teaching GPs and residents considered that it was their responsibility to discuss substance use. They did not feel able to manage alcohol and opioid use disorders. Tobacco cessation was mainly managed alone (78%). The results were quite similar among teaching GPs and residents. Conclusion The majority of practitioners had no difficulty managing smoking cessation. During the management of alcohol and particularly opioid use disorders, practitioners did not feel competent. The gap between their perceived responsibility and competencies should be addressed by training and promoting collaborative care. |
| Databáze: | OpenAIRE |
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