An examination of the influences on New South Wales general practitioners regarding the provision of opioid substitution therapy

2013 ◽  
pp. n/a-n/a ◽  
Author(s):  
Simon Holliday ◽  
Parker Magin ◽  
Christopher Oldmeadow ◽  
John Attia ◽  
Janet Dunbabin ◽  
...  
Keyword(s):  
General Practitioners ◽  
New South ◽  
New South Wales ◽  
Substitution Therapy ◽  
Opioid Substitution Therapy ◽  
South Wales ◽  
Opioid Substitution

scholarly journals Reluctant to train, reluctant to prescribe: barriers to general practitioner prescribing of opioid substitution therapy

2012 ◽  
Vol 18 (4) ◽  
pp. 346 ◽  
Author(s):  
Christine Longman ◽  
Meredith Temple-Smith ◽  
Gail Gilchrist ◽  
Nicholas Lintzeris
Keyword(s):  
General Practitioner ◽  
General Practitioners ◽  
Substitution Therapy ◽  
Opioid Substitution Therapy ◽  
Negative Experiences ◽  
Practice Experience ◽  
Gp Model ◽  
Depth Interviews ◽  
Opioid Substitution

Opioid substitution therapy (OST) is a well-recognised, evidence-based treatment for opioid dependence. Since the early 1990s, Australia has used a community-based general practitioner (GP) model of prescribing, particularly within the state of Victoria, where over 85% of OST prescribing is undertaken by GPs in community settings. Yet the majority of GPs invited to complete the required OST training decline the offer, while of those who complete training, the majority prescribe to few or no patients. This study aimed to determine the reasons for this. Twenty-two in-depth interviews were conducted with Victorian GPs exploring the reasons why the majority declined training, and for trained GPs, why they prescribed to few or no patients in the first 12 months after training. General practitioners who declined to train were predominantly influenced by negative experiences with drug-seeking patients, although other secondary reasons also affected their decision. Some GPs who completed the training were prevented from prescribing by several structural and operational barriers, many of which could be addressed. Fear of deskilling with time became a further impediment. General practitioners who became regular prescribers were highly committed with lengthy general practice experience. Concerns exist about the recruitment process for OST prescriber training, where nearly all GPs decline the offer of training, and the barriers that prevent GPs prescribing after training. Action is needed to address barriers to GP OST training and prescribing, and further research is necessary to ascertain measures required to facilitate long-term prescribing.

scholarly journals Hepatitis C testing and status among opioid substitution treatment clients in New South Wales

2014 ◽  
Vol 38 (2) ◽  
pp. 160-164 ◽  
Author(s):  
Fiona L. Shand ◽  
Carolyn Day ◽  
William Rawlinson ◽  
Louisa Degenhardt ◽  
Nicholas G. Martin ◽  
...  
Keyword(s):  
Hepatitis C ◽  
New South ◽  
New South Wales ◽  
Substitution Treatment ◽  
Opioid Substitution Treatment ◽  
South Wales ◽  
Opioid Substitution
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