Suivi du mésusage des traitements de substitution aux opiacés dans la pratique du médecin généraliste

Suivi du mésusage des traitements de substitution aux opiacés dans la pratique du médecin généraliste PDF Author: Eloïse Liu
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0

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Book Description
Objectif : les traitements de substitution oraux sont largement prescrits en France et on estime que 180 000 personnes bénéficient d'un traitement par BHD ou Méthadone alors que l'on compte 230 000 usagers. Comment prévenir son mésusage et quels sont les freins à leur prescription ? Matériel et méthode : étude observationnelle descriptive à partir de données quantitatives recueillies à l'aide d'un questionnaire adressé majoritairement aux médecins généralistes. Résultats : sur 44 289 questionnaires envoyés, 1117 médecins ont répondu. Ils se considèrent à 49% peu à l'aise dans la prescription des TSO et n'ont pas suivi de formation (66%). Près de 50% craignent le mésusage. S'il est suspecté, ils utilisent surtout l'appel à la pharmacie (32%) et le contrôle de l'historique de remboursement de la carte vitale (37%). Conclusion : Il reste de nombreuses améliorations à apporter afin de permettre une diminution du mésusage des TSO.

Suivi du mésusage des traitements de substitution aux opiacés dans la pratique du médecin généraliste

Suivi du mésusage des traitements de substitution aux opiacés dans la pratique du médecin généraliste PDF Author: Eloïse Liu
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0

Get Book Here

Book Description
Objectif : les traitements de substitution oraux sont largement prescrits en France et on estime que 180 000 personnes bénéficient d'un traitement par BHD ou Méthadone alors que l'on compte 230 000 usagers. Comment prévenir son mésusage et quels sont les freins à leur prescription ? Matériel et méthode : étude observationnelle descriptive à partir de données quantitatives recueillies à l'aide d'un questionnaire adressé majoritairement aux médecins généralistes. Résultats : sur 44 289 questionnaires envoyés, 1117 médecins ont répondu. Ils se considèrent à 49% peu à l'aise dans la prescription des TSO et n'ont pas suivi de formation (66%). Près de 50% craignent le mésusage. S'il est suspecté, ils utilisent surtout l'appel à la pharmacie (32%) et le contrôle de l'historique de remboursement de la carte vitale (37%). Conclusion : Il reste de nombreuses améliorations à apporter afin de permettre une diminution du mésusage des TSO.

Adverse Syndromes and Psychiatric Drugs

Adverse Syndromes and Psychiatric Drugs PDF Author: Peter Haddad
Publisher: Oxford University Press
ISBN: 0198527489
Category : Medical
Languages : en
Pages : 334

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Book Description
Pharmacotherapy is an important part of the treatment of major phychiatric disorders. Although psychiatric drugs can have benefits for patients, adverse syndromes are common, causing distress for patients. This book will help psychiatrists, GPs pharmacists and nurses manage adverse syndromes associated with psychiatric drugs.

Guidelines for the Treatment of Alcohol Problems

Guidelines for the Treatment of Alcohol Problems PDF Author: Paul S. Haber
Publisher: Specialty of Addiction Medicine, Faculty of Medicine and Health, The University of Sydney
ISBN: 1742104894
Category : Medical
Languages : en
Pages : 408

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Book Description
The Australian Guidelines for the Treatment of Alcohol Problems have been periodically developed over the past 25 years. In 1993, the first version of these guidelines, titled: ‘An outline for the management of alcohol problems: Quality assurance in the treatment of drug dependence project’ was published (Mattick & Jarvis 1993). The Australian Government commissioned an update a decade later (Shand et al. 2003) and a further edition in 2009 to integrate the Guidelines with the Australian Guidelines to Reduce Health Risks from Drinking Alcohol (National Health and Medical Research Council, NHMRC 2009; Haber et al., 2009). The present version of the Guidelines was also commissioned by the Commonwealth of Australia to remain current and integrated with the updated NHMRC consumption guidelines (2020). In order to ensure that guidelines remain relevant, the next set of guidelines should be updated in 2025, consistent with NHMRC recommendation that guidelines be updated every five years. These guidelines aim to provide up-to-date, evidence-based information to clinicians on available treatments for people with alcohol problems and are largely directed towards individual clinicians in practice, such as primary care physicians (general practitioners, nursing staff), specialist medical practitioners, psychologists and other counsellors, and other health professionals. Some chapters highlight service or system level issues that impact on clinicians and their patients. These include recommendations concerning Aboriginal and Torres Strait Islander peoples, culturally and linguistically diverse groups, stigma, and discrimination. Elsewhere, organisation capacity is implied, such as medical resources for withdrawal management where recommendations indicate use of medications. As all forms of treatment will not be readily available or suitable for all populations or settings, these guidelines may require interpretation and adaptation.

Addiction Medicine

Addiction Medicine PDF Author: Bankole A. Johnson
Publisher: Springer Science & Business Media
ISBN: 1441903380
Category : Medical
Languages : en
Pages : 1611

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Book Description
The spectrum of addiction disorders presents practitioners with numerous challenges—among them the widening gap between a growing evidence base and the translation of this knowledge into treatment outcomes. Addiction Medicine addresses this disconnect, clearly explaining the role of brain function in drug taking and other habit-forming behaviors, and applying this biobehavioral framework to the delivery of evidence-based treatment. Its state-of-the-art coverage provides clinically relevant details on not only traditional sources of addiction such as cocaine, opiates, and alcohol, but also more recently recognized substances of abuse (e.g., steroids, inhalants) as well as behavioral addictions (e.g., binge eating, compulsive gambling, hoarding). Current behavioral and medical therapies are discussed in depth, and the book’s close attention to social context gives readers an added lens for personalizing treatment. An international panel of expert contributors offers the most up-to-date information on: Diagnosis and classification Neurobiological and molecular theories of addiction Behavioral concepts of addiction Clinical aspects of addiction to a wide range of substances, including opiates, stimulants, sedatives, hallucinogens, alcohol, nicotine, and caffeine Science-based treatment options: pharmacotherapy, pharmacogenetics, potential vaccines, brief and compliance-enhancing interventions, cognitive behavioral treatment, behavioral management, and other psychosocial interventions Behavioral addictions—including compulsive eating, Internet messaging, and hypersexuality—and their treatment Addiction in specific populations, including adolescents, the elderly, pregnant women, and health care professionals Legal, disability, and rehabilitation issues At once comprehensive and integrative, Addiction Medicine is an essential text and a practice-expanding tool for psychiatrists, health psychologists, pharmacologists, social workers, drug counselors, trainees, and general physicians/family practitioners.