Historique
Article de Périodique
French general practitioners' attitudes and prescription patterns toward buprenorphine maintenance treatment: Does doctor shopping reflect buprenorphine misuse? (2005)
Auteur(s) :
FERONI, I. ;
PERETTI-WATEL, P. ;
PARAPONARIS, A. ;
MASUT, A. ;
RONFLÉ, E. ;
MABRIEZ, J. C. ;
OBADIA, Y.
Année :
2005
Page(s) :
7-22
Langue(s) :
Anglais
Refs biblio. :
24
Domaine :
Drogues illicites / Illicit drugs
Thésaurus géographique
FRANCE
Thésaurus mots-clés
MEDECIN GENERALISTE
;
ATTITUDE
;
BUPRENORPHINE
;
PRESCRIPTION MEDICALE
;
TRAITEMENT DE MAINTENANCE
;
MESUSAGE
Résumé :
This study investigated attitudes toward buprenorphine maintenance treatment (BMT) among general practitioners (GPs) and their maintained patients' propensity to turn to several prescribers (doctor shopping), among a sample of 345 GPs prescribing BMT in South-Eastern France. Survey data were anonymously matched to administrative data that provided information about GPs' patients. A simultaneous equation model suggests that GPs' attitude influenced doctor shopping, not the reverse. Doctor shopping was lower among GPs who reported inducting BMT with 8 mg of buprenorphine per day or more, and was higher for GPs endorsing a stringent attitude toward patients. Thus doctor shopping should not be understood exclusively as a deviant behaviour. It is partially physician-driven, and further research is needed to assess whether it reflects patients' dissatisfaction toward inappropriate care supply and the difficulty to establish a good therapeutic relationship between an opiate-dependent patient and a general practitioner.
Affiliation :
Regional Centre for Disease Control of South-Eastern France (ORS PACA) and INSERM Research Unit 379, Social Sciences Applied to Medical Innovation, Institut Paoli Calmettes, Marseille, France
Cote :
Abonnement