Title | Training HIV physicians to prescribe buprenorphine for opioid dependence. |
Publication Type | Journal Article |
Year of Publication | 2006 |
Authors | Sullivan, Lynn E., Jeanette Tetrault, Deepa Bangalore, and David A. Fiellin |
Journal | Substance abuse : official publication of the Association for Medical Education and Research in Substance Abuse |
Volume | 27 |
Issue | 3 |
Pagination | 13-8 |
Date Published | 2006 Sep |
ISSN | 0889-7077 |
Keywords | Adult, Aged, Antiretroviral Therapy, Highly Active, Buprenorphine, Comorbidity, Cross-Sectional Studies, Curriculum, Drug Interactions, Drug Prescriptions, Female, HIV Infections, Humans, Inservice Training, Male, Middle Aged, Narcotics, New York, Opioid-Related Disorders, Specialization |
Abstract | Few HIV physicians are trained to provide buprenorphine treatment. We conducted a cross-sectional survey to assess the impact of an eight-hour course on the treatment of opioid dependence on HIV physicians' preparedness to prescribe buprenorphine. 113 of 257 trained physicians (44%) provided HIV care. Post-course, the majority of both HIV physicians and non-HIV physicians (66% vs. 67%, P = .8) planned to pursue a registration to prescribe buprenorphine. The most common reason for not planning to do so was lack of experience (9% vs. 15%, P = .19). 52 of the 113 (46%) HIV physicians had concerns about prescribing buprenorphine. 30 of the 52 (58%) indicated that interactions between buprenorphine and HAART was their primary concern. Following training, most physicians feel prepared and plan to obtain a registration to prescribe buprenorphine. HIV physicians' concerns regarding interactions between buprenorphine and HAART need to be addressed in future training efforts. |
DOI | 10.1111/j.1521-0391.2011.00207.x |
Alternate Journal | Subst Abus |