Department of Family Medicine, School of Medicine and Biomedical Sciences, and Department of Pharmacy Practice, School of Pharmacy and Pharmaceutical Sciences, University at Buffalo, Buffalo, NY 14203, USA.
Subst Abus. 2013;34(2):105-7. doi: 10.1080/08897077.2012.677753.
ABSTRACT Background: Physician acceptance of cash payment and low adherence to practice guidelines may contribute to buprenorphine-naloxone diversion. The purpose of this study was to investigate the clinical practice policies of physicians who provide office-based treatment for opioid dependence with buprenorphine-naloxone.
Data were obtained from 31 of 71 practices surveyed (response rate 43.7%) that provided answers to at least some of the survey questions.
Of these practices, 28 (90.3%) accepted cash as payment and 6 (19.4%) accepted only cash for treatment services. Analysis of open-ended responses to questions about office policies revealed wide variation among practices and overall suboptimal adherence to recommended treatment guidelines.
These results underscore the need for continuing education for physicians who prescribe buprenorphine-naloxone.
背景：医师接受现金支付以及对实践指南的低遵从度可能导致丁丙诺啡-纳洛酮的滥用。本研究旨在调查提供丁丙诺啡-纳洛酮门诊治疗的医师的临床实践政策。
数据来自 71 个调查实践中的 31 个（应答率 43.7%），这些实践提供了至少部分调查问题的答案。
在这些实践中，28 个（90.3%）接受现金支付，6 个（19.4%）仅接受现金支付治疗服务。对有关办公室政策的开放式问题的分析显示，实践之间存在很大差异，总体上对推荐的治疗指南的遵从度不佳。
这些结果强调了需要对开具丁丙诺啡-纳洛酮的医师进行继续教育。
