Original research
par
Mayet, Soraya et al
Date de publication
2010
Géographie
UK
Langue de la ressource
English
Texte disponible en version intégrale
Non
Open Access / OK to Reproduce
Non
Évalué par des pairs
Yes
L’objectif
Injectable opioids were prescribed unsupervised under the ‘British System’ for heroin dependence. National guidelines (1999 and 2003) confirmed that injectable opioids have a legitimate ‘limited clinical place’ and should be dispensed daily, with ‘mechanisms for supervision’. This study assesses whether national guidelines impacted on prescriptions of injectable opioids.
Constatations/points à retenir
Injectable opioid maintenance treatment for heroin dependence under the unsupervised ‘British System’ is disappearing, although not extinct. If injectable opioids are prescribed, this is more in line with national guidelines. However, many prescriptions are less than daily instalments.
La conception ou méthodologie de recherche
A 25% random sample of community pharmacists (n = 2473) in England were surveyed by a questionnaire in 2005, with 95% response (n = 2349). Opioid maintenance prescription data for anonymous patients (n = 9620) were compared to the prescription data in 1995 (n = 3721) from a matched survey.
Mots clés
Policy/Regulatory
