TY - JOUR KW - Adult KW - Buprenorphine/administration & dosage KW - Female KW - Humans KW - Male KW - Middle Aged KW - Naloxone/administration & dosage KW - office visits KW - Opioid-Related Disorders/drug therapy/epidemiology KW - Patient Satisfaction KW - Primary Health Care/methods KW - Treatment Outcome AU - D. T. Barry AU - B. A. Moore AU - M. V. Pantalon AU - M. C. Chawarski AU - L. E. Sullivan AU - P. G. O'Connor AU - R. S. Schottenfeld AU - D. A. Fiellin A1 - AB - BACKGROUND: Factors associated with satisfaction among patients receiving primary care-based buprenorphine/naloxone are unknown. OBJECTIVE: To identify factors related to patient satisfaction in patients receiving primary care-based buprenorphine/naloxone that varied in counseling intensity (20 vs 45 minutes) and office visit frequency (weekly vs thrice weekly). DESIGN AND PARTICIPANTS: One hundred and forty-two opioid-dependent subjects. MEASUREMENTS: Demographics, drug treatment history, and substance use status at baseline and during treatment were collected. The primary outcome was patient satisfaction at 12 weeks. RESULTS: Patients' mean overall satisfaction score was 4.4 (out of 5). Patients were most satisfied with the medication and ancillary services and indicated strong willingness to refer a substance-abusing friend for the same treatment. Patients were least satisfied with their interactions with other opioid-dependent patients, referrals to Narcotics Anonymous, and the inconvenience of the treatment location. Female gender (beta = .17, P = .04) and non-White ethnicity/race (beta = .17, P = .04) independently predicted patient satisfaction. Patients who received briefer counseling and buprenorphine/naloxone dispensed weekly had greater satisfaction than those whose medication was dispensed thrice weekly (mean difference 4.9, 95% confidence interval 0.08 to 9.80, P = .03). CONCLUSIONS: Patients are satisfied with primary care office-based buprenorphine/naloxone. Providers should consider the identified barriers to patient satisfaction. BT - Journal of general internal medicine C5 - Opioids & Substance Use CP - 2 CY - United States DO - 10.1007/s11606-006-0050-y IS - 2 JF - Journal of general internal medicine N2 - BACKGROUND: Factors associated with satisfaction among patients receiving primary care-based buprenorphine/naloxone are unknown. OBJECTIVE: To identify factors related to patient satisfaction in patients receiving primary care-based buprenorphine/naloxone that varied in counseling intensity (20 vs 45 minutes) and office visit frequency (weekly vs thrice weekly). DESIGN AND PARTICIPANTS: One hundred and forty-two opioid-dependent subjects. MEASUREMENTS: Demographics, drug treatment history, and substance use status at baseline and during treatment were collected. The primary outcome was patient satisfaction at 12 weeks. RESULTS: Patients' mean overall satisfaction score was 4.4 (out of 5). Patients were most satisfied with the medication and ancillary services and indicated strong willingness to refer a substance-abusing friend for the same treatment. Patients were least satisfied with their interactions with other opioid-dependent patients, referrals to Narcotics Anonymous, and the inconvenience of the treatment location. Female gender (beta = .17, P = .04) and non-White ethnicity/race (beta = .17, P = .04) independently predicted patient satisfaction. Patients who received briefer counseling and buprenorphine/naloxone dispensed weekly had greater satisfaction than those whose medication was dispensed thrice weekly (mean difference 4.9, 95% confidence interval 0.08 to 9.80, P = .03). CONCLUSIONS: Patients are satisfied with primary care office-based buprenorphine/naloxone. Providers should consider the identified barriers to patient satisfaction. PP - United States PY - 2007 SN - 1525-1497; 0884-8734 SP - 242 EP - 245 EP - T1 - Patient satisfaction with primary care office-based buprenorphine/naloxone treatment T2 - Journal of general internal medicine TI - Patient satisfaction with primary care office-based buprenorphine/naloxone treatment U1 - Opioids & Substance Use U2 - 17356993 U3 - 10.1007/s11606-006-0050-y VL - 22 VO - 1525-1497; 0884-8734 Y1 - 2007 ER -