French General Practitioners' Attitudes and Prescription Patterns Toward Buprenorphine Maintenance Treatment
| Autor: | Jean-Claude Mabriez, Eléonore Ronfle, Isabelle Feroni, Alain Masut, Patrick Peretti-Watel, Yolande Obadia, Alain Paraponaris |
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| Rok vydání: | 2005 |
| Předmět: |
Adult
Male medicine.medical_specialty Attitude of Health Personnel Substance-Related Disorders Narcotic Antagonists media_common.quotation_subject education Medicine (miscellaneous) Sample (statistics) Drug Prescriptions Risk Assessment medicine Cluster Analysis Humans Medical prescription Psychiatry Referral and Consultation media_common Physician-Patient Relations Models Statistical business.industry Narcotic antagonist Addiction Public health Physicians Family General Medicine Middle Aged Long-Term Care Buprenorphine Therapeutic relationship Psychiatry and Mental health Clinical Psychology Cross-Sectional Studies Survey data collection Female France business medicine.drug |
| Zdroj: | Journal of Addictive Diseases. 24:7-22 |
| ISSN: | 1545-0848 1055-0887 |
| DOI: | 10.1300/j069v24n03_02 |
| Popis: | This study investigated attitudes toward buprenorphine maintenance treatment (BMT) among general practitioners (GPs) and their maintained patients' propensity to turn to several prescribers (doctor shopping), among a sample of 345 GPs prescribing BMT in South-Eastern France. Survey data were anonymously matched to administrative data that provided information about GPs' patients. A simultaneous equation model suggests that GPs' attitude influenced doctor shopping, not the reverse. Doctor shopping was lower among GPs who reported inducting BMT with 8 mg of buprenorphine per day or more, and was higher for GPs endorsing a stringent attitude toward patients. Thus doctor shopping should not be understood exclusively as a deviant behaviour. It is partially physician-driven, and further research is needed to assess whether it reflects patients' dissatisfaction toward inappropriate care supply and the difficulty to establish a good therapeutic relationship between an opiate-dependent patient and a general practitioner. |
| Databáze: | OpenAIRE |
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