How to overcome hurdles in opiate substitution treatment? A qualitative study with general practitioners in Belgium

The European Journal of General Practice
Jessica FraeymanLieve Peremans

Abstract

Opiate substitution treatment (OST) is the administration of opioids (methadone or buprenorphine) under medical supervision for opiate addiction. Several studies indicate a large unmet need for OST in general practice in Antwerp, Belgium. Some hurdles remain before GPs engage in OST prescribing. Formulate recommendations to increase engagement of GPs in OST, applicable to Belgium and beyond. In 2009, an exploratory qualitative research was performed using focus group discussions and interviews with GPs. During data collection and analysis, purposive sampling, open and axial coding was applied. The script was composed around the advantages, disadvantages and conditions of engaging in OST in general practice. We conducted six focus groups and two interviews, with GPs experienced in prescribing OST (n = 13), inexperienced GPs (n = 13), and physicians from addiction centres (n = 5). Overall, GPs did not seem very willing to prescribe OST for opiate users. A lack of knowledge about OST and misbehaving patients creates anxiety and makes the GPs reluctant to learn more about OST. The GPs refer to a lack of collaboration with the addiction centres and a need of support (from either addiction centres or experienced GP-colleagues for adv...Continue Reading

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Citations

Mar 23, 2017·Fundamental & Clinical Pharmacology·Melissa Yéléhé-OkoumaPierre Gillet
Aug 31, 2017·Substance Use & Misuse·James D LivingstonRamm Hering
Feb 23, 2021·The Canadian Journal of Nursing Research = Revue Canadienne De Recherche En Sciences Infirmières·Aaron E Bates, Ruth Martin-Misener
May 11, 2021·Journal of the American College of Emergency Physicians Open·Kathryn A DongElaine Hyshka

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