'The Whole Structure Is Knackered, It Could Still Explode, It Really Could': A Mixed Methods Study of Initiatives to Increase General Practitioner Prescribing in an Opioid Dependence Treatment Program from 1970 to 2022 in New South Wales, Australia
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| Název: | 'The Whole Structure Is Knackered, It Could Still Explode, It Really Could': A Mixed Methods Study of Initiatives to Increase General Practitioner Prescribing in an Opioid Dependence Treatment Program from 1970 to 2022 in New South Wales, Australia |
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| Autoři: | Wilson, Hester, Harris-Roxas, Ben, Lintzeris, Nicholas, Harris, Mark |
| Zdroj: | Contemporary Drug Problems. 52:189-215 |
| Informace o vydavateli: | SAGE Publications, 2025. |
| Rok vydání: | 2025 |
| Témata: | anzsrc-for: 42 Health Sciences, 42 Health Sciences, 8.1 Organisation and delivery of services, anzsrc-for: 16 Studies in Human Society, 32 Biomedical and Clinical Sciences, 3 Good Health and Well Being, 4203 Health Services and Systems, Brain Disorders, anzsrc-for: 4203 Health Services and Systems, Substance Misuse, anzsrc-for: 32 Biomedical and Clinical Sciences, anzsrc-for: 11 Medical and Health Sciences, anzsrc-for: 44 Human Society, Generic health relevance, Drug Abuse (NIDA only), 44 Human Society |
| Popis: | Opioid dependence is a chronic health condition with significant public health implications. Opioid dependence treatment (ODT) has evolved considerably over time. In New South Wales, Australia, ODT prescribing has been available since 1970, managed by both state health services and private practitioners, mostly general practitioners (GPs). This study investigated how various health initiatives influenced GP engagement in ODT prescribing in New South Wales. The research employed a mixed-methods approach, combining document review, key informant interviews, and quantitative prescriber data analysis. Findings revealed a substantial increase in GPs prescribing ODT since the 1970s, with GPs providing care for half of the ODT-treated population by 2022. However, only a small percentage of GPs offered ODT, resulting in limited access and unmet treatment needs. The ODT structure remained vulnerable to potential disruptions in prescriber availability. These results highlight the complex interplay between policy initiatives and clinical practice in addressing opioid dependence. The study underscores the need for long-term, diverse strategies to improve ODT access and support GP involvement in providing comprehensive care for individuals with opioid dependence. |
| Druh dokumentu: | Article |
| Popis souboru: | application/pdf |
| Jazyk: | English |
| ISSN: | 2163-1808 0091-4509 |
| DOI: | 10.1177/00914509241309109 |
| Rights: | CC BY ND URL: https://journals.sagepub.com/page/policies/text-and-data-mining-license |
| Přístupové číslo: | edsair.doi.dedup.....23ec7bdcf31a82cf37d22faec94c8bb3 |
| Databáze: | OpenAIRE |
Nájsť tento článok vo Web of Science | Abstrakt: | Opioid dependence is a chronic health condition with significant public health implications. Opioid dependence treatment (ODT) has evolved considerably over time. In New South Wales, Australia, ODT prescribing has been available since 1970, managed by both state health services and private practitioners, mostly general practitioners (GPs). This study investigated how various health initiatives influenced GP engagement in ODT prescribing in New South Wales. The research employed a mixed-methods approach, combining document review, key informant interviews, and quantitative prescriber data analysis. Findings revealed a substantial increase in GPs prescribing ODT since the 1970s, with GPs providing care for half of the ODT-treated population by 2022. However, only a small percentage of GPs offered ODT, resulting in limited access and unmet treatment needs. The ODT structure remained vulnerable to potential disruptions in prescriber availability. These results highlight the complex interplay between policy initiatives and clinical practice in addressing opioid dependence. The study underscores the need for long-term, diverse strategies to improve ODT access and support GP involvement in providing comprehensive care for individuals with opioid dependence. |
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| ISSN: | 21631808 00914509 |
| DOI: | 10.1177/00914509241309109 |