Healthcare professionals’ regard towards working with patients with substance use disorders: Comparison of primary care, general psychiatry and specialist addiction services

Boekel, Leonieke C. van; Brouwers, Evelien P. M.; Weeghel, Jaap van; Garretsen, H.F.L.

doi:10.1016/j.drugalcdep.2013.09.012

Cited by 156 publications

(141 citation statements)

References 45 publications

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“…Celle-ci a levé l'isolement du MG et ouvert de nouvelles possibilités de suivi. Van Boekel [7] propose d'améliorer l'éducation et les modèles de soins partagés dans lesquels les professionnels spécia-lisés aideraient les MG pour leur permettre d'avoir les mêmes facilités à prendre en charge ces patients. Par son dynamisme, le canton de Genève propose quelque chose qui s'en rapprocherait.…”

Section: Différences D'implicationunclassified

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Comparaison des représentations et comportements des médecins généralistes du Canton de Genève et du Poitou-Charentes

Teoli¹,

Haller²,

Ingrand³

et al. 2016

Santé Publique

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Contexte : La prise en charge des addictions est essentiellement faite par les médecins généralistes (MG). Mais leur implication est très inégale. Est-elle influencée par leur contexte de formation ou d’exercice et sensible aux actions de mobilisation ? Objectif : Nous souhaitions évaluer les différences de représentations et comportements des MG face aux addictions dans des contextes d’exercice, de formation et de sensibilisation différentes. Méthode : Une enquête postale transversale a comparé les réponses de 526 MG du canton de Genève sensibilisés par des actions spécifiques aux addictions à celles de 628 MG de deux départements ruraux picto-charentais non sensibilisés. Résultats : Le taux de réponses a été de 46 % en Suisse, 41 % en France. Les 243 MG genevois répondants rencontraient autant de patients en difficulté ou en sevrage avec le tabac, l’alcool, le cannabis et les opiacés que leurs 256 confrères picto-charentais. Ils avaient une représentation semblable de leur rôle. Les Français étaient significativement plus nombreux que les Suisses à suivre seuls des patients pour sevrage tabagique. Dans les deux pays, le suivi pour les autres substances se faisait dans plus des trois-quarts des cas en collaboration avec un spécialiste. Par contre, les Genevois s’investissaient significativement davantage dans le dépistage, la tenue du dossier, la formation, l’usage du conseil minimal, et l’intérêt pour le réseau. Conclusion : Les efforts de formation et sensibilisation réalisés à Genève auprès des MG pourraient être un élément d’explication des différences observées.

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Section: Différences D'implicationunclassified

“…Des études ont essayé de les caractériser : l'isolement, le manque de temps ou de formations, les représentations négatives des toxicomanes ou alcooliques [4,[7][8][9]. Ils seraient davantage présents chez les MG que chez les psychiatres et les spécia-listes en addictions [7].…”

Section: Introductionunclassified

Comparaison des représentations et comportements des médecins généralistes du Canton de Genève et du Poitou-Charentes

Teoli¹,

Haller²,

Ingrand³

et al. 2016

Santé Publique

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“…Other factors that have related with professional attitudes towards SUD patients are lack of knowledge concerning addiction and personal experiences with substance use among health professionals [1,2,4]. It is well known that training in addiction and SUD topics is very effective in improving knowledge and attitudes in students in professional education, such as medicine, psychology and nursing [5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

“…Attitudes towards SUD patients have been associated with health professionals' perceptions of addiction [2,3]. For example, concept that addiction is a bad habit and worth to be punished is associated with refusal to treat patients with addiction.…”

Section: Introductionmentioning

confidence: 99%

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Illness Perceptions of Addiction and Substance Use Patterns among Psychology Students

Ayu

Jong²,

Pinxten³

et al. 2016

J Child Adolesc Behav

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Physician Reluctance to Intervene in Addiction

Campopiano von Klimo,

Nolan,

Corbin

et al. 2024

JAMA Netw Open

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ImportanceThe overdose epidemic continues in the US, with 107 941 overdose deaths in 2022 and countless lives affected by the addiction crisis. Although widespread efforts to train and support physicians to implement medications and other evidence-based substance use disorder interventions have been ongoing, adoption of these evidence-based practices (EBPs) by physicians remains low.ObjectiveTo describe physician-reported reasons for reluctance to address substance use and addiction in their clinical practices using screening, treatment, harm reduction, or recovery support interventions.Data SourcesA literature search of PubMed, Embase, Scopus, medRxiv, and SSRN Medical Research Network was conducted and returned articles published from January 1, 1960, through October 5, 2021.Study SelectionPublications that included physicians, discussed substance use interventions, and presented data on reasons for reluctance to intervene in addiction were included.Data Extraction and SynthesisTwo reviewers (L.N., M.C., L.F., J.P., C.S., and S.W.) independently reviewed each publication; a third reviewer resolved discordant votes (M.C. and W.C.). This systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines and the theoretical domains framework was used to systematically extract reluctance reasons.Main Outcomes and MeasuresThe primary outcome was reasons for physician reluctance to address substance use disorder. The association of reasons for reluctance with practice setting and drug type was also measured. Reasons and other variables were determined according to predefined criteria.ResultsA total of 183 of 9308 returned studies reporting data collected from 66 732 physicians were included. Most studies reported survey data. Alcohol, nicotine, and opioids were the most often studied substances; screening and treatment were the most often studied interventions. The most common reluctance reasons were lack of institutional support (173 of 213 articles [81.2%]), knowledge (174 of 242 articles [71.9%]), skill (170 of 230 articles [73.9%]), and cognitive capacity (136 of 185 articles [73.5%]). Reimbursement concerns were also noted. Bivariate analysis revealed associations between these reasons and physician specialty, intervention type, and drug.Conclusions and RelevanceIn this systematic review of reasons for physician reluctance to intervene in addiction, the most common reasons were lack of institutional support, knowledge, skill, and cognitive capacity. Targeting these reasons with education and training, policy development, and program implementation may improve adoption by physicians of EBPs for substance use and addiction care. Future studies of physician-reported reasons for reluctance to adopt EBPs may be improved through use of a theoretical framework and improved adherence to and reporting of survey development best practices; development of a validated survey instrument may further improve study results.

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Healthcare professionals’ regard towards working with patients with substance use disorders: Comparison of primary care, general psychiatry and specialist addiction services

Cited by 156 publications

References 45 publications

Comparaison des représentations et comportements des médecins généralistes du Canton de Genève et du Poitou-Charentes

Comparaison des représentations et comportements des médecins généralistes du Canton de Genève et du Poitou-Charentes

Illness Perceptions of Addiction and Substance Use Patterns among Psychology Students

Physician Reluctance to Intervene in Addiction

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