Primary Care of Opioid use Disorder: The End of "the French Model"?

European Addiction Research
Julie DupouyMaryse Lapeyre-Mestre

Abstract

In France, most patients with opioid use disorder (OUD) have been treated by buprenorphine, prescribed by general practitioners (GP) in private practice since 1996. This has contributed to building a 'French model' facilitating access to treatment based on the involvement of GPs in buprenorphine prescription. Our study aimed to assess whether the involvement of primary care in OUD management has changed lately. Using data from the French National Health Insurance database, we conducted a yearly repeated cross-sectional study (2009-2015) and described proportion of opioid maintenance treatment (OMT)-prescribing GPs and OMT-dispensing community pharmacies (CP); and number of patients by GP or CP. Whereas the number of buprenorphine-prescribing GPs in private practice remained quite stable (decrease of 3%), a substantial decrease in buprenorphine initial prescribers among private GPs was observed. In 2009, 10.3% of private GPs (6,297 from 61,301 French private GPs) prescribed buprenorphine for the initiation of a treatment, whereas they were 5.7% (n = 3,539 from 62,071 private GPs) in 2015 (43.8% decrease). GPs issuing initial prescriptions of buprenorphine tended to care for a higher number of patients treated by buprenorphine (1...Continue Reading

Citations

Jun 3, 2021·International Journal of Environmental Research and Public Health·Morgane Guillou-LandreatCaroline Victorri-Vigneau
Jun 25, 2021·European Psychiatry : the Journal of the Association of European Psychiatrists·Mimi PierceWim van den Brink

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