GP attitudes to managing drug‐ and alcohol‐dependent patients: a reluctant role

ABOUYANNI, GEORGE; STEVENS, LEONIE J.; HARRIS, MARK F.; WICKES, WENDY A.; RAMAKRISHNA, SMTA S.; TA, ENG; KNOWLDEN, SHEILA M

doi:10.1080/713659318

Cited by 60Opioid Use Disorder TreatmentSubstance Abuse Treatment and OutcomesPrimary Care and Health Outcomes

GP attitudes to managing drug‐ and alcohol‐dependent patients: a reluctant role

ABOUYANNI, GEORGE, STEVENS, LEONIE J., HARRIS, MARK F., WICKES, WENDY A., RAMAKRISHNA, SMTA S., TA, ENG, KNOWLDEN, SHEILA M·2000·Drug and Alcohol Review

DOI 10.1080/713659318

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Abstract

The aim of this study was to determine the experience, confidence and views of GPs in South West Sydney towards managing drug and alcohol dependence and their interest in participating in shared care methadone prescribing. Five hundred and forty‐eight GPs were mailed a self complete questionnaire. Non‐responders were followed‐up by telephone. Seventy‐six per cent of GPs responded; 52% considered methadone maintenance to be effective. GPs were more confident managing smoking than alcohol and benzodiazepine dependence and least confident in illicit drug dependence. Fifty per cent reported having no patients on methadone and 40% between one and five patients. GPs in Fairfield and Liverpool reported having most patients; 25% were interested in prescribing methadone for patients in their own practice and 17% for patients referred to them. GPs who had more patients on methadone in their practice (especially those in Fairfield and Liverpool) considered methadone effective and were more likely to be interested in having patients referred to them. The most frequent reasons for not being interested were concerns about patients being demanding or aggressive or the impact on their practice. The most frequently requested support for shared care prescribing was for 24‐hour back‐up from specialist services, especially requested by those with less experience with patients on methadone. A shared‐care approach to facilitating greater GP involvement in prescribing appears feasible, especially among GPs with some previous experience with patients on methadone.

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Of 23 studies, 16 found that a majority of GPs believed they were confident in their abilities to screen and advise at-risk drinkers.
“Twenty-three studies reported on how GPs felt about their abilities for screening and advising at-risk drinkers, of which 16 found a majority of GPs believed they were confident in their abilities [20, 36, 40, 44–47, 50, 52, 59–62, 64, 65, 67, 78, 81, 83, 104, 106, 108, 111] compared with 1 of 3 studies involving nurses [20, 36, 59].”
From Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices: a systematic review using the COM-B system and Theoretical Domains Framework (2021) · cites this paper as [40]

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[More of the Surinam and Antilles drug addicts involved in the GG&GD (Community Medical and Health Service) methadone program in Amsterdam should be referred to the family physician for their methadone maintenance].
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Additional file 4 of Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices: a systematic review using the COM-B system and Theoretical Domains Framework
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Authors: ABOUYANNI, G., STEVENS, L. J., HARRIS, M. F., WICKES, W. A., RAMAKRISHNA, S. S., TA, E., & KNOWLDEN, S. M.
Affiliations: Fairfield Hospital (AU)
Corresponding author: HARRIS, MARK F.
ORCID: HARRIS, MARK F.
Venue: Drug and Alcohol Review
Publisher: Wiley
Published: 2000-06
Volume: 19
Issue: 2
Pages: 165-170
ISSN: 0959-5236 (ISSN-L)
1465-3362
DOI: 10.1080/713659318
OpenAlex: W2099986808
Cited by: 59
References: 12
Citations by year: 2026: 1 · 2025: 1 · 2023: 1 · 2021: 7 · 2020: 3 · 2019: 3 · 2018: 2 · 2017: 3 · 2016: 2 · 2014: 1 · 2013: 4 · 2012: 3
FWCI: 2.37
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 3284 d)
Locations: Drug and Alcohol Review (publishedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
Keywords: general practitioners, drug addiction, alcoholism, methadone maintenance treatment, GP attitudes, GP confidence, benzodiazepine dependence, smoking cessation, specialist referral, South West Sydney

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GP attitudes to managing drug‐ and alcohol‐dependent patients: a reluctant role

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