| Titre : | French general practitioners' attitudes and prescription patterns toward buprenorphine maintenance treatment: Does doctor shopping reflect buprenorphine misuse? (2005) |
| Auteurs : | I. FERONI ; P. PERETTI-WATEL ; A. PARAPONARIS ; A. MASUT ; E. RONFLÉ ; J. C. MABRIEZ ; Y. OBADIA |
| Type de document : | Article : Périodique |
| Dans : | Journal of Addictive Diseases (Vol.24, n°3, 2005) |
| Article en page(s) : | 7-22 |
| Langues: | Anglais |
| Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
| Mots-clés : |
Thésaurus TOXIBASE MEDECIN GENERALISTE ; ATTITUDE ; BUPRENORPHINE ; PRESCRIPTION MEDICALE ; TRAITEMENT DE MAINTENANCE ; USAGE DETOURNEThésaurus Géographique FRANCE |
| 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. |
| Domaine : | Drogues illicites / Illicit drugs |
| Refs biblio. : | 24 |
| 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 |
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