1. Главная
  2. Ресурсы
  3. Библиотечный поиск
Reluctant to train,reluctant toprescribe: barriersto generalpractitionerprescribing of opioidsubstitution therapy Christine LongmanMeredith Temple‐SmithGail Gilchrist2012 год

Reluctant to train, reluctant to prescribe: barriers to general practitioner prescribing of opioid substitution therapy
статья из журнала

Полный текстСтраница публикацииПубликация в OpenAlex
Аннотация: Opioid substitution therapy (OST) is a well-recognised, evidence-based treatment for opioid dependence. Since the early 1990s, Australia has used a community-based general practitioner (GP) model of prescribing, particularly within the state of Victoria, where over 85% of OST prescribing is undertaken by GPs in community settings. Yet the majority of GPs invited to complete the required OST training decline the offer, while of those who complete training, the majority prescribe to few or no patients. This study aimed to determine the reasons for this. Twenty-two in-depth interviews were conducted with Victorian GPs exploring the reasons why the majority declined training, and for trained GPs, why they prescribed to few or no patients in the first 12 months after training. General practitioners who declined to train were predominantly influenced by negative experiences with drug-seeking patients, although other secondary reasons also affected their decision. Some GPs who completed the training were prevented from prescribing by several structural and operational barriers, many of which could be addressed. Fear of deskilling with time became a further impediment. General practitioners who became regular prescribers were highly committed with lengthy general practice experience. Concerns exist about the recruitment process for OST prescriber training, where nearly all GPs decline the offer of training, and the barriers that prevent GPs prescribing after training. Action is needed to address barriers to GP OST training and prescribing, and further research is necessary to ascertain measures required to facilitate long-term prescribing.
Год издания: 2012
Авторы: Christine Longman, Meredith Temple‐Smith, Gail Gilchrist, Nicholas Lintzeris
Издательство: CSIRO Publishing
Источник: Australian Journal of Primary Health
Ключевые слова: Opioid Use Disorder Treatment, Substance Abuse Treatment and Outcomes, Health Policy Implementation Science
Другие ссылки: Australian Journal of Primary Health (HTML)
Greenwich Academic Literature Archive (University of Greenwich) (PDF)
Greenwich Academic Literature Archive (University of Greenwich) (HTML)
PubMed (HTML)