Buprenorphine Maintenance Treatment of Opiate Dependence: Correlations Between Prescriber Beliefs and Practices
| Autor: | Kai MacDonald, Michael L. Thomas, Wendy Khentigan, Kristy Lamb |
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| Rok vydání: | 2016 |
| Předmět: |
Health Knowledge
Attitudes Practice medicine.medical_specialty Health (social science) media_common.quotation_subject Medicine (miscellaneous) chemical and pharmacologic phenomena 03 medical and health sciences 0302 clinical medicine immune system diseases Physicians Surveys and Questionnaires hemic and lymphatic diseases medicine Humans 030212 general & internal medicine Practice Patterns Physicians' Psychiatry Opiate dependence media_common Practice patterns business.industry Addiction Standard treatment Public Health Environmental and Occupational Health hemic and immune systems Opioid-Related Disorders United States Buprenorphine 030227 psychiatry Psychiatry and Mental health surgical procedures operative business Clinical psychology medicine.drug |
| DOI: | 10.6084/m9.figshare.2064465.v1 |
| Popis: | Background: Despite the existence of evidence-based guidelines, different prescriber practices around buprenorphine maintenance treatment (BMT) of opiate dependence exist. Moreover, certain prescriber beliefs may influence their practice patterns. Objective: To understand community BMT practice patterns and discern their relationship to practitioner beliefs. Method: Survey of 30 local BMT prescribers about aspects of BMT, and analysis of correlations between practices and practitioner beliefs. Results: Practitioners generally followed standard treatment guidelines, though the most-common maintenances dosages of BMT (4–12 mg) were lower than recommended by some studies. Endorsement of belief in a “spiritual basis” of addiction correlated with lower average BMT doses and less frequent endorsement of the belief that BMT-treated patients are “in recovery.” Conclusions/Importance: These data suggest that relatively standardized, longer-term BMT of opiate dependence is accepted among the majority of surveyed prescribers, and certain provider beliefs about addiction may influence prescribing habits and attitudes. Future studies should: (1) assess these findings in larger samples; (2) examine how prescriber beliefs about addiction and BMT compare with those of other addiction treatment providers; and (3) ascertain whether individual prescriber beliefs influence patient outcomes. |
| Databáze: | OpenAIRE |
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