Abstract:
BACKGROUND:Despite the existence of evidence-based guidelines, different prescriber practices around buprenorphine maintenance treatment (BMT) of opiate dependence exist. Moreover, certain prescriber beliefs may influence their practice patterns. OBJECTIVE:To understand community BMT practice patterns and discern their relationship to practitioner beliefs. METHOD:Survey of 30 local BMT prescribers about aspects of BMT, and analysis of correlations between practices and practitioner beliefs. RESULTS:Practitioners generally followed standard treatment guidelines, though the most-common maintenance dosages of BMT (4-12 mg) were lower than recommended by some studies. Endorsement of belief in a "spiritual basis" of addiction correlated with lower average BMT doses and less frequent endorsement of the belief that BMT-treated patients are "in recovery." CONCLUSIONS/IMPORTANCE:These data suggest that relatively standardized, longer-term BMT of opiate dependence is accepted among the majority of surveyed prescribers, and certain provider beliefs about addiction may influence prescribing habits and attitudes. Future studies should: (1) assess these findings in larger samples; (2) examine how prescriber beliefs about addiction and BMT compare with those of other addiction treatment providers; and (3) ascertain whether individual prescriber beliefs influence patient outcomes.
journal_name
Subst Use Misusejournal_title
Substance use & misuseauthors
MacDonald K,Lamb K,Thomas ML,Khentigan Wdoi
10.3109/10826084.2015.1089905subject
Has Abstractpub_date
2016-01-02 00:00:00pages
85-90issue
1eissn
1082-6084issn
1532-2491journal_volume
51pub_type
杂志文章abstract::Compared with other European countries, France's low number of drug use-related deaths may appear enviable. Previous studies have suggested significant underreporting. The three official records listing drug-related deaths in France in 2007 were cross-checked. Different capture-recapture techniques were applied. The e...
journal_title:Substance use & misuse
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journal_title:Substance use & misuse
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journal_title:Substance use & misuse
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