Titre : | Practiced-based buprenorphine maintenance treatment (BMT): how do French healthcare providers manage the opiate-addicted patients? |
Titre traduit : | (Traitement de maintenance à la buprénorphine : comment le personnel de santé français prend en charge les patients dépendants aux opiacés) |
Auteurs : | J. VIGNAU ; A. DUHAMEL ; CATTEAU J. ; LEGAL J. ; PHO A. H. ; GRAILLES I. ; J. BEAUVILLAIN ; P. PETIT ; P. BEAUVILLAIN ; P. J. PARQUET |
Type de document : | Périodique |
Année de publication : | 2001 |
Format : | 135-144 / tabl. |
Note générale : |
Journal of Substance Abuse Treatment, 2001, 21, (3), 135-144 |
Langues: | Anglais |
Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
Mots-clés : |
Thésaurus mots-clés TRAITEMENT DE MAINTENANCE ; BUPRENORPHINE ; PRISE EN CHARGE ; EPIDEMIOLOGIE DESCRIPTIVE ; ENQUETE ; MEDECIN GENERALISTE ; PHARMACIEN ; EFFICACITEThésaurus géographique FRANCE |
Résumé : |
ENGLISH : France was the first country to promote the extensive use of buprenorphine for the treatment of drug-addicted subjects through the primary care system. To assess both professional commitment and patients' characteristics, all the physicians and pharmacists of a French area having prescribed/dispensed buprenorphine from 2/12/96 (the official release date) to 1/31/98 were identified from data files of the Health Insurance and then interviewed. During the first 61 weeks of buprenorphine maintenance treatment (BMT), 27.5% of physicians and 51.2% of pharmacists of that area were involved; 142 patient records were documented. Features of the clinical routines spontaneously implemented for practice-based BMT were: a high level of on-site supervised dispensation by the pharmacist (71% at treatment induction and 23% thereafter); the absence of objective measurement of illicit drug use; and a low buprenorphine dosage. These features are consistent with the lack of physicians' experience and training, and also the relatively good status of the population treated (no HIV-positives, heroin use duration averaging 4.2 + 3.1 years, and 81.7% with stable accommodations). Despite liberal regulations guiding BMT, a negligible proportion of cases had a "nomadic" attitude (multiple buprenorphine prescribers/deliverers). The treatment outcomes (no deaths, three drug overdoses, improvement in occupational status) are encouraging. Conclusion: Practice-based BMT appears to be a safe and acceptable response to moderate heroin addiction, but further training of the professionals involved and longitudinal investigations of individual (Editor's abstract.) |
Note de contenu : | tabl. |
Domaine : | Drogues illicites / Illicit drugs |
Refs biblio. : | 48 |
Affiliation : |
Service d'Addictologie. Clinique de la Charité, Centre Hospitalier Universitaire, 57 bd de Metz, F-59037 Lille cédex. E-mail : jvignau@nordnet.fr France. France. |
Numéro Toxibase : | 403753 |
Centre Emetteur : | 04 CIRDD-51 |
Exemplaires
Disponibilité |
---|
aucun exemplaire |
Accueil