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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doaj-1f8ce02b247a4d68b64c9282211229cb2020-11-24T21:16:01ZengDove 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 A 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, Francehttp://www.dovepress.com/the-current-status-of-opioid-maintenance-treatment-in-france-a-survey--peer-reviewed-article-IJGM |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Benyamina A |
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 |
author_facet |
Benyamina A |
author_sort |
Benyamina A |
title |
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_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_sort |
current status of opioid maintenance treatment in france: a survey of physicians, patients, and out-of-treatment opioid users |
publisher |
Dove Medical Press |
series |
International Journal of General Medicine |
issn |
1178-7074 |
publishDate |
2014-09-01 |
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 |
url |
http://www.dovepress.com/the-current-status-of-opioid-maintenance-treatment-in-france-a-survey--peer-reviewed-article-IJGM |
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