Difficulties associated with outpatient management of drug abusers by general practitioners. A cross-sectional survey of general practitioners with and without methadone patients in Switzerland

<p>Abstract</p> <p>Background</p> <p>In Switzerland, general practitioners (GPs) manage most of the patients receiving methadone maintenance treatment (MMT).</p> <p>Methods</p> <p>Using a cross-sectional postal survey of GPs who treat MMT patient...

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Main Authors: Pécoud Alain, Besson Jacques, Pelet Anne, Favrat Bernard
Format: Article
Language:English
Published: BMC 2005-12-01
Series:BMC Family Practice
Online Access:http://www.biomedcentral.com/1471-2296/6/51
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author Pécoud Alain
Besson Jacques
Pelet Anne
Favrat Bernard
author_facet Pécoud Alain
Besson Jacques
Pelet Anne
Favrat Bernard
author_sort Pécoud Alain
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>In Switzerland, general practitioners (GPs) manage most of the patients receiving methadone maintenance treatment (MMT).</p> <p>Methods</p> <p>Using a cross-sectional postal survey of GPs who treat MMT patients and GPs who do not, we studied the difficulties encountered in the out-patient management of drug-addicted patients. We sent a questionnaire to every GP with MMT patients (556) in the French-speaking part of Switzerland (1,757,000 inhabitants). We sent another shorter questionnaire to primary care physicians without MMT patients living in the Swiss Canton of Vaud.</p> <p>Results</p> <p>The response rate was 63.3%. The highest methadone dose given by GPs to MMT patients averaged 120.4 mg/day. When asked about help they would like to be given, GPs with MMT patients primarily mentioned the importance of receiving adequate fees for the care they provide. Secondly, they mentioned the importance of better training, better knowledge of psychiatric pathologies, and discussion groups on practical cases. GPs without MMT patients refuse to treat these patients mostly for emotional and relational reasons.</p> <p>Conclusion</p> <p>GPs encounter financial, relational and emotional difficulties with MMT patients. They desire better fees for services and better training.</p>
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spelling doaj.art-9e9bc85eec3b4d3596ad2a4d91b87b522022-12-22T03:38:03ZengBMCBMC Family Practice1471-22962005-12-01615110.1186/1471-2296-6-51Difficulties associated with outpatient management of drug abusers by general practitioners. A cross-sectional survey of general practitioners with and without methadone patients in SwitzerlandPécoud AlainBesson JacquesPelet AnneFavrat Bernard<p>Abstract</p> <p>Background</p> <p>In Switzerland, general practitioners (GPs) manage most of the patients receiving methadone maintenance treatment (MMT).</p> <p>Methods</p> <p>Using a cross-sectional postal survey of GPs who treat MMT patients and GPs who do not, we studied the difficulties encountered in the out-patient management of drug-addicted patients. We sent a questionnaire to every GP with MMT patients (556) in the French-speaking part of Switzerland (1,757,000 inhabitants). We sent another shorter questionnaire to primary care physicians without MMT patients living in the Swiss Canton of Vaud.</p> <p>Results</p> <p>The response rate was 63.3%. The highest methadone dose given by GPs to MMT patients averaged 120.4 mg/day. When asked about help they would like to be given, GPs with MMT patients primarily mentioned the importance of receiving adequate fees for the care they provide. Secondly, they mentioned the importance of better training, better knowledge of psychiatric pathologies, and discussion groups on practical cases. GPs without MMT patients refuse to treat these patients mostly for emotional and relational reasons.</p> <p>Conclusion</p> <p>GPs encounter financial, relational and emotional difficulties with MMT patients. They desire better fees for services and better training.</p>http://www.biomedcentral.com/1471-2296/6/51
spellingShingle Pécoud Alain
Besson Jacques
Pelet Anne
Favrat Bernard
Difficulties associated with outpatient management of drug abusers by general practitioners. A cross-sectional survey of general practitioners with and without methadone patients in Switzerland
BMC Family Practice
title Difficulties associated with outpatient management of drug abusers by general practitioners. A cross-sectional survey of general practitioners with and without methadone patients in Switzerland
title_full Difficulties associated with outpatient management of drug abusers by general practitioners. A cross-sectional survey of general practitioners with and without methadone patients in Switzerland
title_fullStr Difficulties associated with outpatient management of drug abusers by general practitioners. A cross-sectional survey of general practitioners with and without methadone patients in Switzerland
title_full_unstemmed Difficulties associated with outpatient management of drug abusers by general practitioners. A cross-sectional survey of general practitioners with and without methadone patients in Switzerland
title_short Difficulties associated with outpatient management of drug abusers by general practitioners. A cross-sectional survey of general practitioners with and without methadone patients in Switzerland
title_sort difficulties associated with outpatient management of drug abusers by general practitioners a cross sectional survey of general practitioners with and without methadone patients in switzerland
url http://www.biomedcentral.com/1471-2296/6/51
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