The current status of opioid maintenance treatment in France: a survey of physicians, patients, and out-of-treatment opioid users
Amine Benyamina National Institute for Medical Research (INSERM) U-669, Hôpital Universitaire Paul Brousse, 94804 Villejuif, France Aim: Project Access France was a national survey designed to provide real-world observations on the status of opioid dependence treatment in France. Methods:...
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Format: | Article |
Language: | English |
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Dove Medical Press
2014-09-01
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Series: | International Journal of General Medicine |
Online Access: | http://www.dovepress.com/the-current-status-of-opioid-maintenance-treatment-in-france-a-survey--peer-reviewed-article-IJGM |
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author | Benyamina A |
author_facet | Benyamina A |
author_sort | Benyamina A |
collection | DOAJ |
description | Amine Benyamina National Institute for Medical Research (INSERM) U-669, Hôpital Universitaire Paul Brousse, 94804 Villejuif, France Aim: Project Access France was a national survey designed to provide real-world observations on the status of opioid dependence treatment in France. Methods: The views of physicians (n=100), patients (n=130), and out-of-treatment opioid users (n=33) were collected via interviews and questionnaires. Results: Physicians reported being moderately satisfied with treatment programs in their area (rating 6.9 out of 10). Most physicians (82%) reported being concerned about misuse and diversion of medication-assisted treatment (MAT) medications and 50% identified psychosocial/behavioral counseling as the key change that would most improve patient care. Among patients, the mean number of previous MAT episodes was low (1.5); 78% reported that it was easy to access a doctor to undergo MAT; 14% reported regularly or sometimes using heroin; misuse and diversion were reported in 15% and 39% of patients, respectively; and 57% of patients were not receiving psychosocial help. Out-of-treatment opioid users reported using drugs on a regular basis (42% regularly used heroin) and cited 'not wanting to give up drugs completely' as the most frequent reason for staying out of MAT. Conclusion: This survey highlights a number of positive features of the open-access, GP-based treatment model for opioid dependence in France. Challenges remain with regard to continued misuse/diversion of MAT medications and limited patient access to psychosocial support. Keywords: opioid maintenance treatment, medication-assisted treatment, buprenorphine, methadone, buprenorphine–naloxone, France |
first_indexed | 2024-04-12T11:41:36Z |
format | Article |
id | doaj.art-1f8ce02b247a4d68b64c9282211229cb |
institution | Directory Open Access Journal |
issn | 1178-7074 |
language | English |
last_indexed | 2024-04-12T11:41:36Z |
publishDate | 2014-09-01 |
publisher | Dove Medical Press |
record_format | Article |
series | International Journal of General Medicine |
spelling | doaj.art-1f8ce02b247a4d68b64c9282211229cb2022-12-22T03:34:35ZengDove Medical PressInternational Journal of General Medicine1178-70742014-09-012014default44945718266The current status of opioid maintenance treatment in France: a survey of physicians, patients, and out-of-treatment opioid usersBenyamina AAmine Benyamina National Institute for Medical Research (INSERM) U-669, Hôpital Universitaire Paul Brousse, 94804 Villejuif, France Aim: Project Access France was a national survey designed to provide real-world observations on the status of opioid dependence treatment in France. Methods: The views of physicians (n=100), patients (n=130), and out-of-treatment opioid users (n=33) were collected via interviews and questionnaires. Results: Physicians reported being moderately satisfied with treatment programs in their area (rating 6.9 out of 10). Most physicians (82%) reported being concerned about misuse and diversion of medication-assisted treatment (MAT) medications and 50% identified psychosocial/behavioral counseling as the key change that would most improve patient care. Among patients, the mean number of previous MAT episodes was low (1.5); 78% reported that it was easy to access a doctor to undergo MAT; 14% reported regularly or sometimes using heroin; misuse and diversion were reported in 15% and 39% of patients, respectively; and 57% of patients were not receiving psychosocial help. Out-of-treatment opioid users reported using drugs on a regular basis (42% regularly used heroin) and cited 'not wanting to give up drugs completely' as the most frequent reason for staying out of MAT. Conclusion: This survey highlights a number of positive features of the open-access, GP-based treatment model for opioid dependence in France. Challenges remain with regard to continued misuse/diversion of MAT medications and limited patient access to psychosocial support. Keywords: opioid maintenance treatment, medication-assisted treatment, buprenorphine, methadone, buprenorphine–naloxone, Francehttp://www.dovepress.com/the-current-status-of-opioid-maintenance-treatment-in-france-a-survey--peer-reviewed-article-IJGM |
spellingShingle | Benyamina A The current status of opioid maintenance treatment in France: a survey of physicians, patients, and out-of-treatment opioid users International Journal of General Medicine |
title | The current status of opioid maintenance treatment in France: a survey of physicians, patients, and out-of-treatment opioid users |
title_full | The current status of opioid maintenance treatment in France: a survey of physicians, patients, and out-of-treatment opioid users |
title_fullStr | The current status of opioid maintenance treatment in France: a survey of physicians, patients, and out-of-treatment opioid users |
title_full_unstemmed | The current status of opioid maintenance treatment in France: a survey of physicians, patients, and out-of-treatment opioid users |
title_short | The current status of opioid maintenance treatment in France: a survey of physicians, patients, and out-of-treatment opioid users |
title_sort | current status of opioid maintenance treatment in france a survey of physicians patients and out of treatment opioid users |
url | http://www.dovepress.com/the-current-status-of-opioid-maintenance-treatment-in-france-a-survey--peer-reviewed-article-IJGM |
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