TY - JOUR
KW - Adult
KW - Attitude of Health Personnel
KW - Female
KW - General Practice/organization & administration
KW - General Practitioners/psychology
KW - Heroin Dependence/drug therapy/rehabilitation
KW - Humans
KW - Male
KW - Middle Aged
KW - Norway
KW - Opiate Substitution Treatment
KW - Opioid-Related Disorders/drug therapy/rehabilitation
KW - Physician's Role
KW - Social Work/organization & administration
KW - Surveys and Questionnaires
AU - H. Waal
AU - M. Brekke
AU - T. Clausen
AU - M. Lindbaek
AU - J. Rosta
AU - I. Skeie
AU - O. G. Aasland
A1 - 
AB - BACKGROUND: The Norwegian model for opioid maintenance treatment (OMT) "Drug-assisted rehabilitation" (DAR) is a cross-disciplinary tripartite model for the treatment of opioid dependence. The model requires collaboration among GPs, the social services and the specialist health services. To some degree it restricts the doctor's professional autonomy. The investigation aims to examine GPs' attitudes to the model and in particular the experiences of those who have actively participated. MATERIAL AND METHOD: An electronic questionnaire (Questback) was sent to Norwegian GPs listed on the members' register of the Norwegian Medical Association. The respondents were questioned about their general opinions of drug-assisted rehabilitation. Those who had had relevant patients were asked about their experiences and evaluations based on 22 statements. RESULTS: 1,165 doctors (34 % of all registered GPs) responded to the survey. 155 (13 %) were negative, 395 (34 %) neutral, and 604 (53 %) were positive towards drug-assisted rehabilitation. 683 (59 %) were doctors with DAR experience. These were treating approximately 50 % of the country's DAR patients. The tripartite model received significant support. Very few want greater autonomy. The majority also support the strong emphasis on monitoring, although some, particularly older doctors with DAR experience, believe that urine tests could be replaced by personal contact. INTERPRETATION: Drug-assisted rehabilitation was mainly viewed positively by Norwegian GPs in this sample. There was little opposition to the doctor's role in the model, even though it restricts the autonomy of the individual doctor to some degree.
BT - Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke
C5 - Opioids & Substance Use; Education & Workforce
CP - 16
CY - Norway
DO - 10.4045/tidsskr.12.0124
IS - 16
JF - Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke
N2 - BACKGROUND: The Norwegian model for opioid maintenance treatment (OMT) "Drug-assisted rehabilitation" (DAR) is a cross-disciplinary tripartite model for the treatment of opioid dependence. The model requires collaboration among GPs, the social services and the specialist health services. To some degree it restricts the doctor's professional autonomy. The investigation aims to examine GPs' attitudes to the model and in particular the experiences of those who have actively participated. MATERIAL AND METHOD: An electronic questionnaire (Questback) was sent to Norwegian GPs listed on the members' register of the Norwegian Medical Association. The respondents were questioned about their general opinions of drug-assisted rehabilitation. Those who had had relevant patients were asked about their experiences and evaluations based on 22 statements. RESULTS: 1,165 doctors (34 % of all registered GPs) responded to the survey. 155 (13 %) were negative, 395 (34 %) neutral, and 604 (53 %) were positive towards drug-assisted rehabilitation. 683 (59 %) were doctors with DAR experience. These were treating approximately 50 % of the country's DAR patients. The tripartite model received significant support. Very few want greater autonomy. The majority also support the strong emphasis on monitoring, although some, particularly older doctors with DAR experience, believe that urine tests could be replaced by personal contact. INTERPRETATION: Drug-assisted rehabilitation was mainly viewed positively by Norwegian GPs in this sample. There was little opposition to the doctor's role in the model, even though it restricts the autonomy of the individual doctor to some degree.
PP - Norway
PY - 2012
SN - 0807-7096; 0029-2001
SP - 1861
EP - 1866
EP - 
T1 - General practitioners' views on drug-assisted rehabilitation
T2 - Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke
TI - General practitioners' views on drug-assisted rehabilitation
U1 - Opioids & Substance Use; Education & Workforce
U2 - 22986970
U3 - 10.4045/tidsskr.12.0124
VL - 132
VO - 0807-7096; 0029-2001
Y1 - 2012
ER -