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首页> 外文期刊>International Journal of General Medicine >The current status of opioid maintenance treatment in France: a survey of physicians, patients, and out-of-treatment opioid users
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The current status of opioid maintenance treatment in France: a survey of physicians, patients, and out-of-treatment opioid users

机译：法国阿片类药物维持治疗的现状：对医生，患者和未经治疗的阿片类药物使用者的调查

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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.
机译：目的：Project Access France是一项全国性调查，旨在提供有关法国阿片类药物依赖治疗状况的真实观察。方法：通过访谈和问卷调查的方式收集医生（n = 100），患者（n = 130）和非治疗性阿片类药物使用者（n = 33）的观点。结果：医师报告对他们所在地区的治疗方案感到中度满意（满分为10分中的6.9分）。大多数医生（82％）表示担心药物辅助治疗（MAT）药物的滥用和转移，并且50％的人将社会心理/行为咨询视为最能改善患者护理的关键变化。在患者中，以前的MAT发作平均数较低（1.5）; 78％的人表示很容易就医。 14％的人定期或有时使用海洛因报告;分别有15％和39％的患者报告了滥用和转移的情况; 57％的患者没有得到社会心理帮助。不接受治疗的阿片类药物使用者报告了定期使用药物（42％经常使用海洛因），并称“不想完全放弃药物”是保持MAT的最常见原因。结论：这项调查突出了法国基于阿片类药物依赖的开放获取，基于GP的治疗模型的许多积极特征。持续误用/转移MAT药物以及患者获得社会心理支持的机会有限仍然面临挑战。

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