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J Gen Intern Med. 2007 Feb;22(2):242-5.

Patient satisfaction with primary care office-based buprenorphine/naloxone treatment.

Author information

1
Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06519-1187, USA, declan.barry@yale.edu

Abstract

BACKGROUND:

Factors associated with satisfaction among patients receiving primary care-based buprenorphine/naloxone are unknown.

OBJECTIVE:

To identify factors related to patient satisfaction in patients receiving primary care-based buprenorphine/naloxone that varied in counseling intensity (20 vs 45 minutes) and office visit frequency (weekly vs thrice weekly).

DESIGN AND PARTICIPANTS:

One hundred and forty-two opioid-dependent subjects.

MEASUREMENTS:

Demographics, drug treatment history, and substance use status at baseline and during treatment were collected. The primary outcome was patient satisfaction at 12 weeks.

RESULTS:

Patients' mean overall satisfaction score was 4.4 (out of 5). Patients were most satisfied with the medication and ancillary services and indicated strong willingness to refer a substance-abusing friend for the same treatment. Patients were least satisfied with their interactions with other opioid-dependent patients, referrals to Narcotics Anonymous, and the inconvenience of the treatment location. Female gender (beta = .17, P = .04) and non-White ethnicity/race (beta = .17, P = .04) independently predicted patient satisfaction. Patients who received briefer counseling and buprenorphine/naloxone dispensed weekly had greater satisfaction than those whose medication was dispensed thrice weekly (mean difference 4.9, 95% confidence interval 0.08 to 9.80, P = .03).

CONCLUSIONS:

Patients are satisfied with primary care office-based buprenorphine/naloxone. Providers should consider the identified barriers to patient satisfaction.

PMID:
17356993
PMCID:
PMC1824745
DOI:
10.1007/s11606-006-0050-y
[Indexed for MEDLINE]
Free PMC Article

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