Attitudes and Beliefs Regarding Opioid Maintenance Treatment in Portugal: A Survey to Physicians, Patients and Opioid Users
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/410 |
Resumo: | Background: There is a paucity of pan-European research on the state of medication-assisted treatment (MAT) from the perspective of the physicians who provide it, the patients who receive it and the opioid users who remain outside of the treatment system. Project ACCESS, a Europe-wide survey involving 11 countries, explored physicians’, patients’ and users’ attitudes and beliefs regarding the quality of and access to medication-assisted treatment. This report presents key findings from Portugal.Material and Methods: Physicians who treat opioid-dependent patients with medication-assisted treatment were interviewed face-to-face; patients in medication-assisted treatment, patients not in medication-assisted treatment (in therapy without medication), and users (opioiddependent persons not currently in therapy) received self-completion questionnaires.Results: The survey found that treatment for opioid-dependent individuals in Portugal is currently judged to be good by patients and physicians. Access to treatment was reported to be easy by the majority of patients and physicians and there was a high level of satisfaction among patients. However, patient awareness of medication-assisted treatment options is currently sub-optimal in Portugal and doses of medication-assisted treatment were frequently low.Discussion: The results of the ACCESS project, as far as medication-assisted treatment is concerned, are encouraging and highlight both the success areas and those that need to be improved in the future within the system of treatment for opioid-dependent individuals in Portugal.Conclusions: Project ACCESS provides a valuable assessment of attitudes and beliefs regarding medication-assisted treatment in Portugal. These data should help inform future decision-making to optimize responses to treatment at the patient and public health level. |
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Attitudes and Beliefs Regarding Opioid Maintenance Treatment in Portugal: A Survey to Physicians, Patients and Opioid UsersAtitudes e Percepções Relativas ao Tratamento de Manutenção com Opiáceos em Portugal: Um Inquérito a Médicos, Doentes e UtilizadoresBackground: There is a paucity of pan-European research on the state of medication-assisted treatment (MAT) from the perspective of the physicians who provide it, the patients who receive it and the opioid users who remain outside of the treatment system. Project ACCESS, a Europe-wide survey involving 11 countries, explored physicians’, patients’ and users’ attitudes and beliefs regarding the quality of and access to medication-assisted treatment. This report presents key findings from Portugal.Material and Methods: Physicians who treat opioid-dependent patients with medication-assisted treatment were interviewed face-to-face; patients in medication-assisted treatment, patients not in medication-assisted treatment (in therapy without medication), and users (opioiddependent persons not currently in therapy) received self-completion questionnaires.Results: The survey found that treatment for opioid-dependent individuals in Portugal is currently judged to be good by patients and physicians. Access to treatment was reported to be easy by the majority of patients and physicians and there was a high level of satisfaction among patients. However, patient awareness of medication-assisted treatment options is currently sub-optimal in Portugal and doses of medication-assisted treatment were frequently low.Discussion: The results of the ACCESS project, as far as medication-assisted treatment is concerned, are encouraging and highlight both the success areas and those that need to be improved in the future within the system of treatment for opioid-dependent individuals in Portugal.Conclusions: Project ACCESS provides a valuable assessment of attitudes and beliefs regarding medication-assisted treatment in Portugal. These data should help inform future decision-making to optimize responses to treatment at the patient and public health level.Introdução: Existem poucos estudos pan-europeus sobre programas terapêuticos com agonistas opiáceos, tanto da perspectiva dos prescritores, como dos doentes que os recebem e dos utilizadores de opióides que se mantêm fora do sistema de tratamento. O projecto ACCESS, um estudo europeu realizado em 11 países, explorou as atitudes e percepções dos médicos, doentes e utilizadores de opióides quanto à qualidade e ao acesso aos programas terapêuticos com agonistas opiáceos. O presente artigo descreve os principais resultados para Portugal.Material e Métodos: Os médicos que tratam doentes dependentes de opióides com recurso a programas terapêuticos com agonistas opiáceos foram inquiridos por entrevista directa; os doentes em programas terapêuticos com agonistas opiáceos, os doentes que não se encontravam em programas terapêuticos com agonistas opiáceos (em tratamento não farmacológico), e os utilizadores activos (pessoas dependentes de opióides que não se encontram actualmente em tratamento) receberam questionários de auto-preenchimento.Resultados: Verificou-se que, tanto os médicos como os doentes avaliam como ‘Bom’ o tratamento dos dependentes de opióides, em Portugal. O acesso ao tratamento foi considerado ‘Fácil’ pela maioria dos doentes e dos médicos, registando-se um elevado nível de satisfação entre os doentes. Contudo, o conhecimento dos doentes quanto às opções dos programas terapêuticos com agonistas opiáceos em Portugal encontra-se ainda abaixo do nível óptimo e as doses dos fármacos dos programas terapêuticos com agonistas opiáceos são frequentemente baixas.Discussão: Os resultados do projecto ACCESS, no que diz respeito a PTAO, são encorajadores e evidenciam quer as áreas de sucesso, quer as áreas que podem ser melhoradas no futuro, no que diz respeito ao sistema de tratamento de dependências de opióides em Portugal.Conclusões: O projecto ACCESS faz uma avaliação importante das atitudes e percepções em relação aos programas terapêuticos com agonistas opiáceos em Portugal. Estes dados deverão constituir um apoio importante a futuras tomadas de decisão quanto à optimização de respostas ao tratamento, no que diz respeito aos doentes e ao nível dos serviços de saúde.Ordem dos Médicos2013-10-31info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/vnd.openxmlformats-officedocument.presentationml.presentationhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/410oai:ojs.www.actamedicaportuguesa.com:article/410Acta Médica Portuguesa; Vol. 26 No. 5 (2013): September-October; 537-548Acta Médica Portuguesa; Vol. 26 N.º 5 (2013): Setembro-Outubro; 537-5481646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/410https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/410/3773https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/410/6818Goulão, Joãoinfo:eu-repo/semantics/openAccess2022-12-20T10:56:11Zoai:ojs.www.actamedicaportuguesa.com:article/410Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:16:29.880351Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Attitudes and Beliefs Regarding Opioid Maintenance Treatment in Portugal: A Survey to Physicians, Patients and Opioid Users Atitudes e Percepções Relativas ao Tratamento de Manutenção com Opiáceos em Portugal: Um Inquérito a Médicos, Doentes e Utilizadores |
title |
Attitudes and Beliefs Regarding Opioid Maintenance Treatment in Portugal: A Survey to Physicians, Patients and Opioid Users |
spellingShingle |
Attitudes and Beliefs Regarding Opioid Maintenance Treatment in Portugal: A Survey to Physicians, Patients and Opioid Users Goulão, João |
title_short |
Attitudes and Beliefs Regarding Opioid Maintenance Treatment in Portugal: A Survey to Physicians, Patients and Opioid Users |
title_full |
Attitudes and Beliefs Regarding Opioid Maintenance Treatment in Portugal: A Survey to Physicians, Patients and Opioid Users |
title_fullStr |
Attitudes and Beliefs Regarding Opioid Maintenance Treatment in Portugal: A Survey to Physicians, Patients and Opioid Users |
title_full_unstemmed |
Attitudes and Beliefs Regarding Opioid Maintenance Treatment in Portugal: A Survey to Physicians, Patients and Opioid Users |
title_sort |
Attitudes and Beliefs Regarding Opioid Maintenance Treatment in Portugal: A Survey to Physicians, Patients and Opioid Users |
author |
Goulão, João |
author_facet |
Goulão, João |
author_role |
author |
dc.contributor.author.fl_str_mv |
Goulão, João |
description |
Background: There is a paucity of pan-European research on the state of medication-assisted treatment (MAT) from the perspective of the physicians who provide it, the patients who receive it and the opioid users who remain outside of the treatment system. Project ACCESS, a Europe-wide survey involving 11 countries, explored physicians’, patients’ and users’ attitudes and beliefs regarding the quality of and access to medication-assisted treatment. This report presents key findings from Portugal.Material and Methods: Physicians who treat opioid-dependent patients with medication-assisted treatment were interviewed face-to-face; patients in medication-assisted treatment, patients not in medication-assisted treatment (in therapy without medication), and users (opioiddependent persons not currently in therapy) received self-completion questionnaires.Results: The survey found that treatment for opioid-dependent individuals in Portugal is currently judged to be good by patients and physicians. Access to treatment was reported to be easy by the majority of patients and physicians and there was a high level of satisfaction among patients. However, patient awareness of medication-assisted treatment options is currently sub-optimal in Portugal and doses of medication-assisted treatment were frequently low.Discussion: The results of the ACCESS project, as far as medication-assisted treatment is concerned, are encouraging and highlight both the success areas and those that need to be improved in the future within the system of treatment for opioid-dependent individuals in Portugal.Conclusions: Project ACCESS provides a valuable assessment of attitudes and beliefs regarding medication-assisted treatment in Portugal. These data should help inform future decision-making to optimize responses to treatment at the patient and public health level. |
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2013 |
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2013-10-31 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/410 oai:ojs.www.actamedicaportuguesa.com:article/410 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/410 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/410 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/410/3773 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/410/6818 |
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Ordem dos Médicos |
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Ordem dos Médicos |
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Acta Médica Portuguesa; Vol. 26 No. 5 (2013): September-October; 537-548 Acta Médica Portuguesa; Vol. 26 N.º 5 (2013): Setembro-Outubro; 537-548 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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