Scarborough Jane, Eliott Jaklin, Braunack-Mayer Annette
Drug and Alcohol Services South Australia, Adelaide, South Australia.
Aust Fam Physician. 2011 Apr;40(4):241-5.
Opioid substitution therapy (OST) is the most commonly provided treatment for heroin dependence in Australia and has been shown to be effective. Access to OST outside of specialised public clinics and prisons relies on the participation of general practitioners. In Australia there is a shortage of GPs available to prescribe OST, which results in an unmet need for OST services. Studies have reported barriers to GP involvement in drug and alcohol work and there is little research looking at the perceptions and experiences of GPs involved in prescribing OST.
Semistructured qualitative interviews were conducted with eight experienced prescribers of OST in general practice settings in South Australia.
All participants described similar positive and negative aspects associated with prescribing OST. Some participants commenced prescribing in such a manner as to limit the scope of their involvement. Ceasing OST prescribing was not necessarily linked to negative experiences. Exprescribers indicated that they were unlikely to recommence prescribing.
This study has limited generalisability due to the small sample size but it does highlight some insights that can be gained from talking to experienced OST prescribers.
阿片类药物替代疗法（OST）是澳大利亚治疗海洛因依赖最常用的方法，且已被证明有效。在专门的公共诊所和监狱之外获得OST依赖于全科医生的参与。在澳大利亚，可提供OST处方的全科医生短缺，这导致了对OST服务的需求未得到满足。研究报告了全科医生参与药物和酒精工作的障碍，并且很少有研究关注参与开具OST处方的全科医生的看法和经历。
对南澳大利亚州普通医疗环境中八位经验丰富的OST处方医生进行了半结构化定性访谈。
所有参与者都描述了与开具OST相关的类似积极和消极方面。一些参与者开始开具处方时限制了自己的参与范围。停止开具OST处方不一定与负面经历有关。曾经开具过处方的医生表示他们不太可能重新开始开具处方。
由于样本量小，本研究的普遍性有限，但它确实突出了与经验丰富的OST处方医生交谈可以获得的一些见解。
