Titre : | French general practitioners' prescribing high-dosage buprenorphine maintenance treatment: is the existing training (good) enough? |
Auteurs : | I. FERONI ; P. PERETTI-WATEL ; A. MASUT ; C. COUDERT ; A. PARAPONARIS ; Y. OBADIA |
Type de document : | Périodique |
Année de publication : | 2005 |
Format : | 187-191 |
Note générale : |
Addictive Behaviors, 2005, 30, (1), 187-191 |
Langues: | Anglais |
Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
Mots-clés : |
Thésaurus mots-clés MEDECIN GENERALISTE ; PRESCRIPTION MEDICALE ; BUPRENORPHINE ; OPIACES ; TRAITEMENT DE MAINTENANCE ; FORMATION ; ENQUETEThésaurus géographique FRANCE ; BOUCHES-DU-RHONE |
Résumé : |
ENGLISH : In France, since 1996, any general practitioner (GP) can prescribe high-dosage buprenorphine maintenance treatment (BMT) for opioid-dependent patients. The health authorities initially provided mandatory specific training, but since 1998, such training is only delivered by specialized networks and the pharmaceutical industry. Among a random sample of GPs from southeastern France (N=345), we found that many untrained GPs, as well as a significant minority of trained GPs, were likely to prescribe an ineffective dosage of buprenorphine or a potentially dangerous treatment (BMT+a short half-life benzodiazepine). These results highlight the necessity to edit clear guidelines, especially concerning situations of polyaddiction and psychiatric comorbidity, and to extend and improve BMT training in France with a renewed involvement of health authorities for quality control of such training. They even suggest that GPs' participation to specialized training sessions should become a mandatory prerequisite for prescribing BMT. (Author' s abstract) |
Domaine : | Drogues illicites / Illicit drugs |
Affiliation : |
Institut National de la Recherche Médicale, U 379, 23 Rue Stanislas Torrents, 13006 Marseille. Email : peretti@marseille.inserm.fr France. France. |
Centre Emetteur : | 13 OFDT |
Cote : | A02142 |
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