French general practitioners' prescribing high-dosage buprenorphine maintenance treatment: is the existing training (good) enough?

Abstract:

: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.

journal_name

Addict Behav

journal_title

Addictive behaviors

authors

Feroni I,Peretti-Watel P,Masut A,Coudert C,Paraponaris A,Obadia Y

doi

10.1016/j.addbeh.2004.04.019

keywords:

subject

Has Abstract

pub_date

2005-01-01 00:00:00

pages

187-91

issue

1

eissn

0306-4603

issn

1873-6327

pii

S0306460304001650

journal_volume

30

pub_type

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