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Author Longman, Christine Anne

Title Influences on opioid pharmacotherapy prescribing in general practice in Victoria / Christine Anne Longman
Published [Melbourne, Vic.] : [University of Melbourne], [c2009, 2012]


Location Call no. Vol. Availability
Description 1 electronic resource (PDF file, (xiii, 142 pages))
Summary Opioid dependence is a chronic relapsing condition resulting in significant individual and community harms, for which the most effective treatment is long term opioid pharmacotherapy (OP). In contrast to other Australian states and territories, in Victoria, 80-85% of OP prescribing is undertaken by GPs, and while demand for this treatment is difficult to estimate, all evidence indicates that the current and future GP workforce is inadequate to meet projected need. GPs have shown a reluctance to become actively involved in the treatment of patients with drug dependence, especially where illicit drugs are involved. In order to prescribe OP, Australian medical practitioners are required to complete a specific training program. Little is known of the reasons why GPs decline to undertake this training, and why the majority who complete training, subsequently prescribe to very few or no patients. Using in-depth interviews and an analysis of existing data from the Victorian Department of Human Services, this thesis not only explores why GPs are unwilling to complete OP training, and why many subsequently fail to prescribe, but also identifies both barriers and facilitators which influence GPs in their decisions regarding these issues. The results have not only provided new information on the reasons GPs decline the offer of training but also supported existing research
Notes Copied on demand
Thesis (MMed) -- University of Melbourne, Dept. of General Practice, 2009
Bibliography Bibliography: pages 131-140
Subject Opioid abuse -- Treatment -- Australia -- Victoria.
Drug abuse -- Treatment -- Australia -- Victoria.
Methadone maintenance -- Australia -- Victoria.
Buprenorphine -- Therapeutic use.
Physicians (General practice) -- Training of -- Australia -- Victoria.
Author University of Melbourne.