Historique
Article de Périodique
Processes of care during a randomized trial of office-based treatment of opioid dependence in primary care (2004)
(Processus de soin au cours d'un essai randomisé de traitement dans les cabinets médicaux de la dépendance aux opioïdes en soin primaire.)
Auteur(s) :
FIELLIN, D. A. ;
O'CONNOR, P. G. ;
CHAWARSKI, M. C. ;
SCHOTTENFELD, R. S.
Année
2004
Page(s) :
S67-S78
Langue(s) :
Anglais
Refs biblio. :
28
Domaine :
Drogues illicites / Illicit drugs
Thésaurus mots-clés
METHADONE
;
PRESCRIPTION MEDICALE
;
MEDECIN
;
FORMATION
;
CONSEIL
;
DEPISTAGE
;
EFFICACITE
Thésaurus géographique
ETATS-UNIS
Résumé :
Improving office-based treatment of opioid dependence requires an evaluation of processes of care. We evaluated the care provided by physicians to opioid dependent patients during a trial of office-based methadone maintenance. We conducted chart audits and a focus group. Audits identified lapses in monitoring of urine toxicology results, and paperwork completion. The focus group identified the logistics of dispensing, the receipt of urine toxicology results, difficulties arranging psychiatric services, communications with the opioid treatment program, and non-adherence to medication as problematic. Strategies to support logistical aspects of office-based care should be developed. Chart audits and mentoring should be considered as a mechanism to foster quality care. These processes of care are likely to require attention for treatment using methadone or buprenorphine.
Affiliation :
Department of Internal Medicine, Yale University School of Medicine, New Haven, CT, USA
Cote :
Abonnement