TY - JOUR
KW - buprenorphine
KW - buprenorphine-naloxone
KW - France
KW - medication-assisted treatment
KW - Methadone
KW - opioid maintenance treatment
AU - A. Benyamina
A1 - 
AB - 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.
BT - International journal of general medicine
C5 - Opioids & Substance Use
CY - New Zealand
DO - 10.2147/IJGM.S61014
JF - International journal of general medicine
N2 - 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.
PP - New Zealand
PY - 2014
SN - 1178-7074; 1178-7074
SP - 449
EP - 457
EP - 
T1 - The current status of opioid maintenance treatment in France: a survey of physicians, patients, and out-of-treatment opioid users
T2 - International journal of general medicine
TI - The current status of opioid maintenance treatment in France: a survey of physicians, patients, and out-of-treatment opioid users
U1 - Opioids & Substance Use
U2 - 25228817
U3 - 10.2147/IJGM.S61014
VL - 7
VO - 1178-7074; 1178-7074
Y1 - 2014
ER -